Mediastinitis chest x ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Anthony Gallo, B.S. [2]

Overview

The chest x ray findings associated with mediastinitis are very unspecific and are indicative of the lack of pathognomonic characteristics of this disease.

Chest X ray

The chest x ray findings associated with mediastinitis are very unspecific and are indicative of the lack of pathognomonic characteristics of this disease. There may be distortion and obliteration of normally recognizable mediastinal interfaces or lines. Chest x rays generally demonstrate the following:[1]

  • calcification (mediastinal and/or hilar)
  • widening of the mediastinum (especially on the right side)
  • increased right hilar bronchovascular bundles
  • enlargement of the right paratracheal area.

The anterior and upper regions of the mediastinum are the most often affected. Atelectasis and pneumonitis may also be observed.[2]

References

  1. Fibrosing mediastinitis. Radiopedia.org (2015) http://radiopaedia.org/articles/fibrosing-mediastinitis Accessed on October 2, 2015
  2. Kang DW, Canzian M, Beyruti R, Jatene FB (2006). "Sclerosing mediastinitis in the differential diagnosis of mediastinal tumors". J Bras Pneumol. 32 (1): 78–83. PMID 17273573.


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