This Article Figures Only Full Text Full Text (PDF) Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Lee, K Y Articles by Kim, J S Search for Related Content PubMed PubMed Citation Articles by Lee, K Y Articles by Kim, J S

Fibrosing mediastinitis manifesting as thoracic prevertebral thin band-like mass on MRI and PET-CT

¹ Department of Internal Medicine, ² Department of Radiology, ³ Department of Nuclear Medicine, ⁴ Department of Thoracic Surgery, Konkuk University College of Medicine, Seoul, Republic of Korea

Correspondence: Dr Jeong Geun Yi, Diagnostic Imaging, Konkuk University Hospital, 4-12 Hwayang Gwangjin, Seoul 143729, Republic of Korea. E-mail: yinatur{at}kuh.ac.kr

To our knowledge, no report exists of a posterior mediastinal thin band-like mass as a manifestation of fibrosing mediastinitis. A man showed right pleural effusion on chest radiograph. On CT, there was a band-like mass on thoracic prevertebral area. MRI demonstrated the enhancing longitudinal band-like mass all along the vertebrae on coronal and sagittal scans. It was hypermetabolic on PET–CT and there was another hot mass in the presacral area. Additional pelvic MRI showed presacral mass with aortic encasement. Biopsy specimen was consistent with fibrosing mediastinitis. We report a case of fibrosing mediastinitis of posterior mediastinum manifesting as thoracic prevertebral band-like mass and discontiguous presacral, periaortic mass studied with CT, MRI and PET-CT.