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Ruptured mediastinal cystic teratoma with intrapulmonary bronchial invasion: CT demonstration

Y-C Cheung, MD1,2, S-H Ng, MD1,2, Y-L Wan, MD1,2 and K-T Pan, MD1

1Department of Diagnostic Radiology, Chang Gung Memorial Hospital at Linkuo and Keelung, 5 Fu-Hsing Road, Tao Yuan Hsien and 2College of Medicine and School of Medical Technology, Chang Gung University, 259 Wen Hwa 1st Road, Kwei Shan, Tao Yuan Hsien, Taiwan



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Figure 1. Non-enhanced CT, 2 years prior to hospital admission, shows a 3 x 4 cm2 encapsulated tumour in the anterior mediastinum containing a cystic configuration, soft tissue and a spherical fatty component. The tumour margin is smooth. These CT features are diagnostic of cystic teratoma.

 


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Figure 2. Contrast enhanced CT at the time of admission shows a 4 x 6 cm2 heterogeneously enhanced mass with disorganized cystic and soft tissue components. Fat fragments are dispersed within the tumour (arrowhead). Note the direct invasion to the intrapulmonary left upper lobe bronchus (arrow).

 





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