Bronchogenic Cyst

Presentation

A 51-year-old woman is referred to a thoracic surgeon because of an abnormal finding on chest x-rays that were obtained as part of a preoperative evaluation for an elective cholecystectomy.

▪ Chest X-rays

Figure 22-1

Figure 22-2

Chest X-ray Report

The chest x-rays demonstrate a mass in the right superior mediastinum. The heart is of normal size, and there are no lung masses or pleural effusions.

Discussion

The patient reports a 30-pack-per-year smoking history and coughing episodes almost every morning. She has no history of hemoptysis, fevers, night sweats, chills, pleuritic pain, or complaints suggesting heart disease. Physical examination shows no palpable masses in the neck or supraclavicular area.

Recommendation

Computed tomography (CT) scans.

▪ CT Scans