CTICasesEsophageal Hemangioma
Imaging findings
A lateral chest radiograph shows subtle nodular opacities superimposed on the cardiac shadow. Chest CT reveals a vascular lower mediastinal mass that is intimately associated with and inseparable from the esophagus, containing numerous round, dense calcifications characteristic of phleboliths. Surgical resection and pathology confirmed an esophageal hemangioma.
Key takeaways
Esophageal hemangiomas are rare benign vascular neoplasms. The presence of multiple rounded calcifications representing phleboliths within a posterior mediastinal mass is a key imaging clue that distinguishes hemangiomas or vascular malformations from other mediastinal tumors or granulomatous processes.
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