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Paracardiac pleural Castleman disease: radiographic and MR findings

¹ Department of Radiology, Chang Gung Memorial Hospitals at Linkou and Keelung, Chang Gung University, Taoyuen Hsien and Keelung Hsien and Departments of ² Radiology, ³ Pathology and ⁴ Cardiovascular and Thoracic Surgery, Chang Gung Memorial Hospital at Kaohsiung, Chang Gung University, 123 Ta-Pei Road, Niao-Sung Hsiang Kaohsiung Hsien 833, Taiwan

Correspondence: Dr Tze-Yu Lee

Castleman disease is a rare benign lymphoid tumour of uncertain aetiology that usually appears as a solitary mediastinal mass. We report a rare case of Castleman disease in the right paracardiac pleural space, occurring in a young woman with non-specific chest discomfort. MRI showed a well-defined, oval mass that was slightly hyperintense on T₁ weighted images, inhomogeneously hyperintense on T₂ and enhanced T₁ weighted images. The patient underwent radical tumour resection and has remained well for 8 years.