Nekkanti Rajasekhar, Nanda Navin C, Ahmed Sujood, Sanders Colleen
Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama 35249, USA.
Echocardiography. 2003 Jul;20(5):443-7. doi: 10.1046/j.1540-8175.2003.03073.x.
We report a transesophageal echocardiographic (TEE) study in an adult patient with ischemic stroke, in whom a nodular mass lesion consistent with tumor or mediastinal lymphadenopathy appeared to be interposed between the esophageal probe and the proximal descending aorta/aortic arch. Computed tomography (CT) scan of the chest revealed no pathologic lesions, only the presence of normal mediastinal lymph nodes and a rightward displaced esophagus. This unusual, but normal rightward position of the esophagus appears to have facilitated the visualization of these normal mediastinal lymph nodes on TEE. CT scan of the chest helped clarify the benign nature of these lymph nodes, which mimicked a mediastinal mass on TEE.
我们报告了一项针对一名成年缺血性中风患者的经食管超声心动图（TEE）研究。在该患者中，一个与肿瘤或纵隔淋巴结病相符的结节状肿块病变似乎位于食管探头与降主动脉近端/主动脉弓之间。胸部计算机断层扫描（CT）未发现病理性病变，仅存在正常的纵隔淋巴结和向右移位的食管。食管这种不寻常但正常的右位似乎有助于在TEE上观察到这些正常的纵隔淋巴结。胸部CT扫描有助于明确这些淋巴结的良性性质，这些淋巴结在TEE上类似纵隔肿块。
