CTICasesGiant Mediastinal Vagal Schwannoma
Imaging findings
Chest radiograph and CT show a giant, middle mediastinal mass with internal necrotic areas and calcifications. The mass severely compresses and displaces the trachea and right main bronchus. Biopsy confirmed vagal schwannoma.
Key takeaways
Schwannomas of the vagus nerve can present as giant, slow-growing middle mediastinal masses. They typically contain internal cystic/necrotic degeneration and calcifications, and can cause significant tracheal compression.
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