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Pseudo-mediastinal tumor: Brachiocephalic artery buckling
Yasuhiro Kano1, Kengo Murata1,2
1Department of Emergency and General Medicine Tokyo Metropolitan Tama Medical Center Tokyo Japan.
Clinical Case Reports
|May 31, 2024
Summary
Buckling of the brachiocephalic artery can mimic mediastinal tumors on chest X-rays. Consider vascular anomalies, particularly in hypertensive elderly women, for accurate diagnosis.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Thoracic Radiology
Background:
- Mediastinal opacities on chest X-rays can present diagnostic challenges.
- Differential diagnosis for mediastinal masses is broad, including neoplastic and non-neoplastic conditions.
Observation:
- Buckling of the brachiocephalic artery can lead to abnormal mediastinal opacity on chest X-rays.
- This finding may be misidentified as a mediastinal tumor.
Findings:
- The study highlights brachiocephalic artery buckling as a cause of atypical chest X-ray findings.
- This vascular anomaly can mimic the appearance of a mediastinal tumor.
Implications:
- Radiologists should consider vascular anomalies, specifically brachiocephalic artery buckling, in the differential diagnosis of mediastinal opacities.
- Early recognition is crucial for appropriate patient management, especially in at-risk populations like elderly hypertensive females.
