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
On x-ray, mediastinitis is limitedly characterized by calcification, widening of the mediastinum, or increased right hilar bronchovascular bundles. 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. The anterior and upper regions of the mediastinum are the most often affected. Chest x-rays generally demonstrate the following:[1][2][3]
- 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.
- Atelectasis
- Pneumonitis
References
- ↑ Fibrosing mediastinitis. Radiopedia.org (2015) http://radiopaedia.org/articles/fibrosing-mediastinitis Accessed on October 2, 2015
- ↑ Rossi SE, McAdams HP, Rosado-de-Christenson ML, Franks TJ, Galvin JR (2001). "Fibrosing mediastinitis". Radiographics. 21 (3): 737–57. doi:10.1148/radiographics.21.3.g01ma17737. PMID 11353121.
- ↑ 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.