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Age: 8

Sex: Female

Indication: Chest pain

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Case #16


Findings

  • No focal airspace opacification, pleural effusion, or pneumothorax
  • Normal size and configuration of the cardiothymic silhouette
  • Right paraspinal fusiform soft tissue density measuring 5 cm in craniocaudal dimension extending from T9-T10 through T12-L1


Diagnosis

  • Paraspinal mass (ganglioneuroma)

Sample Report

No focal airspace opacification, pleural effusion, or pneumothorax.

Normal size and configuration of the cardiothymic silhouette.

Right paraspinal fusiform soft tissue density measuring 5 cm in craniocaudal dimension extending from T9-T10 through T12-L1 concerning for a neoplasm. Recommend chest CT for further evaluation.


Discussion

  • Paraspinal masses are very easy to miss
  • This case went on to biopsy with pathology showing ganglioneuroma


Images

Red arrows: right paraspinal mass. Red arrow: mass confirmed on the subsequent CT.

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