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Esophageal Duplication Cyst

Imaging findings

Chest radiograph shows a subcarinal mediastinal mass. Barium esophagogram demonstrates a fixed extrinsic mucosal defect with obtuse margins. CT demonstrates a well-circumscribed, low-attenuation subcarinal mass adjacent to and compressing the esophagus. Pathological resection confirmed esophageal mucosa, diagnostic of an esophageal duplication cyst.

Key takeaways

Foregut duplication cysts include bronchogenic, esophageal duplication, and neurenteric cysts. Esophageal duplication cysts typically arise adjacent to the esophagus and are lined by gastrointestinal (esophageal) mucosa, containing double-layered smooth muscle. They can cause dysphagia due to extrinsic compression.

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