Radiological Findings of Pleural and Mediastinal Diseases

흉막 및 종격동 질환의 방사선학적 소견

  • Choi, Yo Won (Department of Radiology, Hanyang University College of Medicine)
  • 최요원 (한양대학교 의과대학 진단방사선과학교실)
  • Published : 2005.06.30

Abstract

Radiological analysis of chest lesions detected on chest radiographs or CT scans begins with their classification into parenchymal, pleural, or extrapleural lesions according to their presumed origin. The mediastinum is divided anatomically into the anterior, middle, and posterior mediastinal compartments, and localizing a mediastinal mass to one of these divisions can facilitate their differential diagnosis. A differential diagnosis of a mediastinal mass is usually based on a number of findings, including its location; the structure from which it is arising; whether it is single, multifocal (involving several different areas or lymph node groups), or diffuse; its size and shape; its attenuation (fatty, fluid, soft-tissue, or a combination of these); the presence of calcification along with its characteristics and amount; and its opacification following the administration of contrast agents.

Keywords

References

  1. Ellis R. Incomplete border sign of extrapleural masses. JAMA 1977;237:2748 https://doi.org/10.1001/jama.237.25.2748
  2. Paul LW. Neurogenic tumors at the pulmonary apex. Dis Chest 1945;11:648 https://doi.org/10.1378/chest.11.6.648
  3. Reed JC. Chest radiology: plain film patterns and differential diagnoses. 3rd ed. St Louis: Mosby-Year Book; 1991. p.18-26
  4. Felson B. The extrapleural space. Semin Roentgenol 1977;12:327-33
  5. Naidich DP, Webb WR, Muller NL, Krinsky GA, Zerhouni EA, Siegelman SS. Computed tomography and magnetic resonance of the thorax. 3rd ed. Philadelphia: Lippincott-Raven; 1999. p.658-9
  6. Choi YW, Jeon SC, Seo HS, Park CK, Park SS, Hahm CK, et al. Tuberculous pleural effusion: new pulmonary lesions during treatment. Radiology 2002;224:493-502 https://doi.org/10.1148/radiol.2242011280
  7. Strollo DC, Rosado de Christenson ML, Jett JR. Primary mediastinal tumors: part 1. Chest 1997;112:511-22 https://doi.org/10.1378/chest.112.2.511
  8. Rosado-de-Christenson ML, Galobardes J, Moran CA. Thymoma: radiologic-pathologic correlation. Radiographics 1992;12:151-68 https://doi.org/10.1148/radiographics.12.1.1734461
  9. Do YS, Im JG, Lee BH, Kim KH, Oh YW, Chin SY, et al. CT findings in malignant tumors of thymic epithelium. J Comput Assist Tomogr 1995;19:192-7 https://doi.org/10.1097/00004728-199503000-00005
  10. Lee JD, Choe KO, Kim SJ, Kim GE, Im JG, Lee JT. CT findings in primary thymic carcinoma. J Comput Assist Tomogr 1991;15:429-33 https://doi.org/10.1097/00004728-199105000-00015
  11. Moeller KH, Rosado-de-Christenson ML, Templeton PA. Mediastinal mature teratoma: imaging features. AJR Am J Roentgenol 1997;169:985-90 https://doi.org/10.2214/ajr.169.4.9308448
  12. Rosado-de-Christenson ML, Templeton PA, Moran CA. Mediastinal germ cell tumors: radiologic and pathologic correlation. Radiographics 1992;12:1013-30 https://doi.org/10.1148/radiographics.12.5.1326777
  13. Glazer GM, Axel L, Moss AA. CT diagnosis of mediastinal thyroid. AJR Am J Roentgenol 1982;138:495-8 https://doi.org/10.2214/ajr.138.3.495
  14. Strollo DC, Rosado de Christenson ML, Jett JR. Primary mediastinal tumors: part 2. Tumors of the middle and posterior mediastinum. Chest 1997;112:1344-57 https://doi.org/10.1378/chest.112.5.1344
  15. Webb WR. MR imaging of treated mediastinal Hodgkin disease. Radiology 1989;170:315-6 https://doi.org/10.1148/radiology.170.2.2911654
  16. Hopper KD, Diehl LF, Cole BA, Lynch JC, Meilstrup JW, McCauslin MA. The significance of necrotic mediastinal lymph nodes on CT in patients with newly diagnosed Hodgkin disease. AJR Am J Roentgenol 1990;155:267-70 https://doi.org/10.2214/ajr.155.2.2115249
  17. Castellino RA, Hilton S, O'Brien JP, Portlock CS. Non-Hodgkin lymphoma: contribution of chest CT in the initial staging evaluation. Radiology 1996;199:129-32 https://doi.org/10.1148/radiology.199.1.8633134
  18. Moon WK, Im JG, Kim JS, Choi CG, Kim HC, Yeon KM, et al. Mediastinal Castleman disease: CT findings. J Comput Assist Tomogr 1994;18:43-6 https://doi.org/10.1097/00004728-199401000-00009
  19. Im JG, Song KS, Kang HS, Park JH, Yeon KM, Han MC, et al. Mediastinal tuberculous lymphadenitis: CT manifestations. Radiology 1987;164:115-9 https://doi.org/10.1148/radiology.164.1.3588896
  20. Tecce PM, Fishman EK, Kuhlman JE. CT evaluation of the anterior mediastinum: spectrum of disease. Radiographics 1994;14:973-90 https://doi.org/10.1148/radiographics.14.5.7991827
  21. Kawashima A, Fishman EK, Kuhlman JE, Nixon MS. CT of posterior mediastinal masses. Radiographics 1991;11:1045-67 https://doi.org/10.1148/radiographics.11.6.1749849
  22. Ribet ME, Cardot GR. Neurogenic tumors of the thorax. Ann Thorac Surg 1994;58:1091-5 https://doi.org/10.1016/0003-4975(94)90464-2
  23. Bourgouin PM, Shepard JO, Moore EH, McLoud TC. Plexiform neurofibromatosis of the mediastinum: CT appearance. AJR Am J Roentgenol 1988;151:461-3 https://doi.org/10.2214/ajr.151.3.461
  24. Kumar AJ, Kuhajda FP, Martinez CR, Fishman EK, Jezic DV, Siegelman SS. Computed tomography of the extracranial nerve sheath tumors with pathological correlation. J Comput Assist Tomogr 1983;7:857-65 https://doi.org/10.1097/00004728-198310000-00020
  25. Stark DD, Moss AA, Brasch RC, deLorimier AA, Albin AR, London DA, et al. Neuroblastoma: diagnostic imaging and staging. Radiology 1983;148:101-5 https://doi.org/10.1148/radiology.148.1.6856817
  26. Adam A, Hochholzer L. Ganglioneuroblastoma of the posterior mediastinum: a clinicopathologic review of 80 cases. Cancer 1981;47:373-81 https://doi.org/10.1002/1097-0142(19810115)47:2<373::AID-CNCR2820470227>3.0.CO;2-O