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Water-Attenuation Bronchogenic Cyst

Imaging findings

Chest CT shows a well-circumscribed, homogeneous middle mediastinal/subcarinal mass with water attenuation (-7 Hounsfield units), consistent with a bronchogenic cyst.

Key takeaways

Bronchogenic cysts are congenital foregut anomalies. Although they typically have high attenuation due to proteinaceous/mucinous fluid, they can occasionally present with pure water attenuation.

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