Kaya Hatice, Rider Katherine, Cho Alexander H, Schwartz Arnold, Alrehaili Ghadah, Ahari Jalil
Department of Pulmonary, Critical Care and Sleep Medicine, The George Washington University, 2150 Pennsylvania Avenue NW, Washington, DC 20037, USA; Department of Pulmonary, Gulhane Military Medical Academy, General Tevfik Saglam Caddesi, Etlik, Ankara 06010, Turkey.
Department of Pulmonary, Critical Care and Sleep Medicine, The George Washington University, 2150 Pennsylvania Avenue NW, Washington, DC 20037, USA.
Clin Imaging. 2016 Jan-Feb;40(1):177-9. doi: 10.1016/j.clinimag.2015.07.030. Epub 2015 Aug 4.
We present the case of a 31-year-old man who presented with acute chest pain. Computed tomography scan showed a mediastinal mass engulfing right main-stem bronchus and another mass surrounding descending aorta. Positron emission tomography (PET) scan showed high mass metabolic activity. Histopathological evaluation revealed fibroinflammatory scarring. He was diagnosed with idiopathic fibrosing mediastinitis, started on prednisone and tamoxifen treatment, and monitored with serial PET scans. Nine months after treatment initiation, paraaortic abnormality had resolved and mediastinal mass had regressed.
