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Esophageal leiomyoma

Imaging findings

Chest CT shows a well-defined, homogeneous, non-calcified soft tissue mass in the middle mediastinum arising from the wall of the esophagus, causing eccentric displacement of the esophageal lumen.

Key takeaways

Esophageal leiomyomas are the most common benign tumors of the esophagus, arising from the smooth muscle layer. They typically present on CT as smooth, homogeneous submucosal masses in the middle mediastinum.

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