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Mediastinal paraganglioma

Imaging findings

CT scan shows an intensely enhancing, hypervascular subaortic mediastinal mass in the aortopulmonary window, supplied by enlarged, tortuous bronchial arteries.

Key takeaways

Mediastinal paragangliomas are rare neuroendocrine tumors. They are characteristically hypervascular, demonstrating intense contrast enhancement and large feeding bronchial or systemic arteries. Resection carries a high risk of hemorrhage.

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