Cystic masses of the mediastinum are a heterogenous group of asymptomatic or symptomatic, congenital, infectious, or neoplastic lesions. For early and correct diagnosis, evaluation, and optimal patient management of cystic mediastinal masses in infants, children, or adults imaging plays an important role. A non-invasive and sensitive imaging modality is an efficient and cost-effective tool. Multidetector computed tomography (MDTC) with volumetric acquisition provides fast acquisition of high resolution images and multiplanar reconstruction. Both 2D and 3D imaging in mediastinal imaging help in surgical planning and assessing resectability of mediastinal lesions. MR imaging has many advantages over other modalities for detecting and identifying cystic, or fluid-filled mediastinal masses, because of its intrinsic high soft tissue contrast and direct multiplanar imaging capabilities. However, histological tissue analysis may be required to differentiate a cystic lesion from other cyst-like or low-attenuation lesions.
Keywords: Cysts, Computed Tomography, Magnetic Resonance Imaging, Mediastinum, Radiograph
Cited in 10 Documents
Wun-Lin Chen, Chih-Lung Shen, Yi-Ming Chang, Chih-Ming Hsieh, Cheng-Kuang Chang, Hsian-He-Hsu and Ching Tzao (2014) Pulmonary Metastatic Gastric Cancer Mimicking A Giant Mediastinal Cyst. The Annals of Thoracic Surgery98(1):329. doi: 10.1016/j.athoracsur.2013.09.063
Daniel Vargas, Thomas Suby-Long and Carlos S. Restrepo (2016) Cystic Lesions of the Mediastinum. Seminars in Ultrasound, CT and MRI37(3):212. doi: 10.1053/j.sult.2015.12.005
Mehmet Onur Omaygenc, Ibrahim Oguz Karaca, Beytullah Cakal, Haci Murat Gunes, Filiz Kizilirmak and Bilal Boztosun (2016) Huge Pericardial Cyst with Compressing Effects on the Right-Heart Chambers. Arch Cardiovasc Imaging4(3):. doi: 10.5812/acvi.45736
Melissa J. McGettigan and Robert A. Gatenby (2018) Radiologic Pearls for Internists: A Case-Based Review. The American Journal of Medicine131(1):9. doi: 10.1016/j.amjmed.2017.08.022
Ameer Hamza and Annikka Weissferdt (2019) Non-Neoplastic and Benign Tumoral Lesions of the Thymic Gland. Advances In Anatomic Pathology26(4):257. doi: 10.1097/PAP.0000000000000231
Bayram Metin, Şener Yıldırım, Sevinç Şahin, Selda Seçkin and Mustafa Fatih Erkoç (2016) Concurrent pericardial diverticulum and unilocular thymic cyst lined with ciliated respiratory epithelium: a rare case report. Indian J Thorac Cardiovasc Surg32(2):139. doi: 10.1007/s12055-015-0412-3
Houda El Mhabrech, Ahmed Zrig, Habib Besbes, Amine Ksia, Karim Ben Ameur, Aouatef Hajjeji and Chiraz Hafsa (2017) An unusual cause of neonatal respiratory distress: neurenteric cyst. Journal of Obstetrics and Gynaecology37(4):528. doi: 10.1080/01443615.2017.1281898
Marco Salvatore (2015) Correlative Imaging in a Patient with Cystic Thymoma: CT, MR and PET/CT Comparison. Pol J Radiol80:22. doi: 10.12659/PJR.892105
Yuchong Zhao, Ronghua Wang, Yun Wang, Qian Chen, Liangkai Chen, Wei Hou, Limin Liu, Wei Gao and Bin Cheng (2019) Application of endoscopic ultrasound-guided-fine needle aspiration combined with cyst fluid analysis for the diagnosis of mediastinal cystic lesions. Thorac Cancer10(2):156. doi: 10.1111/1759-7714.12924
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