CTICasesEsophageal leiomyoma
Imaging findings
Chest radiograph shows mild widening of the upper mediastinum with rightward tracheal deviation, and CT demonstrates a large, bulky, homogeneous soft tissue mass arising eccentrically from the esophageal wall in the upper mediastinum.
Key takeaways
Esophageal leiomyomas are the most common benign esophageal neoplasms. They typically present on CT as smooth, homogeneous submucosal middle mediastinal masses and can grow to large sizes, causing mass effect without tissue invasion.
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