Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
At the age of two years this male patient had a cough and fever. A chest film taken at that time to rule out pneumonia (not provided) showed infiltrate and a right mediastinal fullness which was felt to represent thymus. The patient now presents at the age of six again with cough and fever.
Clinical Physical Exam:
Clinical Differential Diagnosis:
A chest film showed a mediastinal mass. A barium swallow (not provided) showed minor displacement of the esophagus to the left. A chest CT exam showed the mass to be in the posterior mediastinum and to be of fatty density.
Images 1 and 2
Imaging Differential Diagnosis:
The patient underwent elective removal of the mass.
Pathological examination showed the mass to consist mainly of mature lipocytes, as there were a few lipoblasts and little fibrous tissue.
Lipoma, Posterior Mediastinal
Follow-up and Prognosis:
The patient had an uncomplicated post-operative course.
Case 32, Case 35, Case 36, Case 42, Case 70
Please send us comments by filling out our Comment Form.
All contents copyright © 1992-2017 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.
"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.
Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.
Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.
The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.