Article Figures & Data
Figures
- Figure 1
Chest X-ray posterior-anterior view showing rather a well defined large homogenous soft tissue opacity lesion in the right upper zone area (arrow) that have broad based toward mediastinum and making an obtuse angle with it. There are no any detected calcifications seen within the lesion. The mass have overlapped the upper thoracic spine but not Silhouetting the upper cardiac border suggested to be retro-cardiac. Note the widening of the right sided upper posterior rib interspace highly localizing mass lesion to be in the posterior mediastinum.
- Figure 2
Chest MRI (multiple sections through the chest and mediastinum). The examination showing A) large well defined soft tissue lesion about 8 * 6 * 5 cm (arrow head), have low signal intensity in T1W image with multiple signal void area in favouring of few spots of calcification, This mass being extra pulmonary lesion at the right side para-vertebral area showing extension upward occupying the right side upper posterio-superior thoracic gutter connecting to another mass at the right side supraclavicular area in favour of multiple discrete & matted involved lymph nodes (arrow) by metastasis that have the same mass criteria in signal intensity enhancement. B) The whole 2 bulk masses showing heterogeneous enhancement post contrast (arrow). There are no any surrounded bony changes. This large mass abutting the descending thoracic aorta displacing trachea to the left side.
- Figure 3
Spinal MRI (multiple sections through the thoracic spine showing: A) large mass lesion 8 *6* 5 cm enhanced heterogeneously in the right sided posterior mediastinum (arrows) that extended through the neural exit foramen in the right side aspect widened them at multiple levels D1-D8. The mass demonstrated also posterior extra dural component within the thoracic spinal sac deviating & flattening the spinal cord aside from D1 to approximately D8 but not invade spinal cord tissue (arrows). B) Axial view the mass considered to be a (dumbbell) malignant neoplasm (arrow), primarily in the mediastinum with posterior extension through an intervertebral foramen to the spinal canal & causing spinal cord compression (extra dural extension) highly in favour of posterior mediastinal Neuroblastoma. There are a concomitant right sided pleural effusion that indicates involvement of the pleural cavity.
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