Presentation
GP chest x-ray - presenting with cough
Patient Data
Gender: Male
From the case:
Paratracheal lymphadenopathy
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There is widening of the right paratracheal stripe which is concerning for lymphadenopathy. The right hilum is also a little bulky which may also be due to lymphadenopathy.
From the case:
Paratracheal lymphadenopathy
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CT confirms the presence of right paratracheal lymphadenopathy. There is also bilateral hilar and mediastinal lymphadenopathy as well as mildly enlarged bilateral supraclavicular nodes.
Biopsy in this case showed this was due to lymphoma.
Case Discussion
The right paratracheal stripe is usually less than 4mm wide on chest x-ray.
Widening of the paratracheal stripe is a non-specific finding but may indicate paratracheal lymphadenopathy, the differential for which includes; lymphoma, TB and sarcoid.
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