IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Anterior mediastinal teratoma

Case contributed by Gagandeep Singh
Diagnosis almost certain

Patient Data

Age: Child

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

x-ray

There is a large anterior mediastinal mass measuring 9 cm in size with calcification within it. There is shift of the mediastinum towards right side. No pleural effusion is seen. Findings are most likely suggestive of teratoma.

Anterior hypodense well defined left-sided mediastinal mass, with calcification and fat within it, the appearance is highly suggestive of teratoma.

Case Discussion

Frontal chest radiograph demonstrates a left paratracheal radio-opacity with sharp lateral margin and indistinct medial border that silhouette the left cardiac border, suggestive of anterior mediastinal mass. Shift of the mediastinum to the right side is also seen. Specks of calcification within the mass is noted. Findings are most likely suggestive of teratoma.

Selected axial and sagittal chest CT confirm the presence of anterior hypodense well defined left-sided mediastinal mass, with calcification and fat within it, the appearance is highly suggestive of teratoma.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.