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Posterior Mediastinal Bronchogenic Cyst

Imaging findings

Chest radiograph demonstrates a well-circumscribed mass sitting above the aortic arch, which is difficult to visualize on the lateral projection. Chest CT confirms a low-attenuation, well-circumscribed fluid-density posterior mediastinal mass.

Key takeaways

Although posterior mediastinal cysts are often clinically suspected to be neuroenteric cysts, true neuroenteric cysts are exceedingly rare and typically associated with vertebral anomalies. Most cysts discovered in the posterior mediastinum pathologically turn out to be bronchogenic cysts.

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