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Virtual Pediatric Hospital: Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease: Case 37 Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease

Case 37

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


Chief Complaint:
Eight year old male with a heart murmur

Clinical History:
The patient was an 8 year old male with a heart murmur who had an incidental finding on a chest film.

Clinical Physical Exam:
Heart murmur.

Clinical Labs:
Non-contributory

Clinical Differential Diagnosis:
Congenital heart disease

Imaging Findings:
A chest film showed an anterior mediastinal mass. An echocardiogram showed the mass to be cystic (not provided). A chest CT exam showed the mass to be well circumscribed and containing calcifications.

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Imaging Differential Diagnosis:
Cystic teratoma

Operative Findings:
The patient was taken electively to the operating room and the mass was totally excised.

Pathological Findings:
Pathological examination of the surgical specimen revealed findings characteristic for a cystic teratoma.

Final Diagnosis:
Teratoma, Anterior Mediastinal

Follow-up and Prognosis:
The patient had an uncomplicated post-operative course.

Similar Cases:
Case 33, Case 34, Case 38, Case 39, Case 40, Case 41, Case 60

References:

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