J Korean Radiol Soc.  1998 Aug;39(2):325-327. 10.3348/jkrs.1998.39.2.325.

Pulmonary Hematocele Mimicking Posterior Mediastinal Mass: Two Cases Report

Affiliations
  • 1Department of Radiology, Kangneung Hospital, Asan Foundation.
  • 2Department of General Surgery, Kangneung Hospital, Asan Foundation.
  • 3Department of Thouacic Surgery, Kangneung Hospital, Asan Foundation.

Abstract

Closed chest trauma occasionally results in the development of traumatic lung cyst or pulmonary hematocele.Radiologically, this latter rarely mimicks posterior mediastinal mass, which can cause unnecessary surgicalresection, We encountered two cases of pulmonary hematocele simulating posterior mediastinal mass. Multiplicity ofthe lesion, fracture of surrounding bony structure, decrease of mass size at follow-up examination, an acute anglebetween the mass and chest wall, peripheral rim enhancement of the mass, as seen on CT scans, or characteristicsignal intensity suggesting hematoma, as seen on MR images, helped differentiate pulmonary hematocele fromposterior mediastinal mass.

Keyword

Lung, CT; Lung, diseases; Lung, injuries

MeSH Terms

Follow-Up Studies
Hematocele*
Hematoma
Lung
Male
Thoracic Wall
Thorax
Tomography, X-Ray Computed
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