Alsayegh Hassan Ali, Alhakeem Ruqaiyah Naji, Almusallam Wejdan Hashim, Alkhars Abdulwahab Abdulhaq, Alkhalaf Jawad, Alsehaiw Ali, Alalwan Qasem Mohammed
Department of Radiology, King Fahad Hospital Hofuf, 36441 Prince Salman St, Eastern Province, Saudi Arabia.
King Faisal University, College of Medicine Hofuf, 31982 Eastern Province, Saudi Arabia.
Radiol Case Rep. 2021 Dec 23;17(3):656-661. doi: 10.1016/j.radcr.2021.12.001. eCollection 2022 Mar.
A 71-year-old female presented with chronic shortness of breath and underwent routine examination at the emergency department. A plain chest radiograph revealed a large lobulated posterior mediastinal mass that was incidentally found to be unrelated to the main complaint. Further cross-sectional images were obtained to characterize the lesion, which revealed bilateral involvement of a prevertebral mixed attenuation large mass with minimal enhancement postcontrast administration. Images were not conclusive in which the patient underwent ultrasound-guided biopsy and further histopathological examination, which revealed a myelolipoma of the posterior mediastinum, a rare entity to be seen at that location. Here, we present the case of posterior mediastinal myelolipoma.
一名71岁女性因慢性呼吸急促就诊于急诊科并接受了常规检查。胸部X线平片显示后纵隔有一个分叶状大肿块，偶然发现与主要症状无关。进一步行横断面成像以明确病变特征，结果显示椎体前有一个双侧受累的混合密度大肿块，增强扫描后强化不明显。图像结果不明确，遂对患者进行超声引导下活检及进一步组织病理学检查，结果显示为后纵隔髓脂肪瘤，这是一种在该部位罕见的病变。在此，我们报告一例后纵隔髓脂肪瘤病例。
