2018
DOI: 10.1016/j.rmcr.2017.11.001
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A mass that has no (EBUS) echo

Abstract: We report findings for a patient that underwent endobronchial ultrasound (EBUS) guided transbronchial needle aspiration (TBNA) for diagnostic purposes after an abnormal chest CT. The patient initially presented with cough and shortness of breath. Chest CT revealed a 6 cm soft tissue mass with mildly enlarged right hilar lymph nodes (LNs) and a small right sided pleural effusion. Based on these radiologic findings, the patient underwent an EBUS guided FNA of the mass. To our surprise, the mass was hypoechoic by… Show more

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Cited by 4 publications
(3 citation statements)
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“…Although ultrasonography, CT, and MRI are helpful for detecting a BC [ 1 , 2 , 4 , 9 , 12 ], MRI provides a better definition of the cyst itself. On ultrasonography, BCs frequently appear as anechoic, well-defined, rounded or elongated cysts and as internal echogenic foci with posterior acoustic enhancement in subcutaneous tissue [ 9 , 12 ]. Likewise, BCs usually manifest as spherical masses of either water or soft-tissue attenuation/intensity.…”
Section: Discussionmentioning
confidence: 99%
“…Although ultrasonography, CT, and MRI are helpful for detecting a BC [ 1 , 2 , 4 , 9 , 12 ], MRI provides a better definition of the cyst itself. On ultrasonography, BCs frequently appear as anechoic, well-defined, rounded or elongated cysts and as internal echogenic foci with posterior acoustic enhancement in subcutaneous tissue [ 9 , 12 ]. Likewise, BCs usually manifest as spherical masses of either water or soft-tissue attenuation/intensity.…”
Section: Discussionmentioning
confidence: 99%
“…4 In the study patient, a diagnosis of bronchogenic cyst was made based on the position and cystic nature (0 Hounsfield unit) of the mass on the CT scan, the anechoic appearance on EBUS, and the nature of the fluid aspirated during the procedure. 5 The patient had a vague symptom of sensation of heaviness over the chest. Considering that on radiology, the cyst was only compressing upon the SVC and had no pressure effects over the trachea and esophagus, we believe the patient's symptom can be attributed to SVC narrowing.…”
Section: Discussionmentioning
confidence: 99%
“…It is unclear how many of these mediastinal masses could have been large intrathoracic lymph nodes. There are several case reports outlining the use of CP-EBUS for draining mediastinal lesions such as esophageal duplications cysts (Figure 4), bronchogenic cysts, and pericardial effusions (58)(59)(60). It is important to note that these therapeutic applications of CP-EBUS are yet to be supported by robust data.…”
Section: Mediastinal Lesionsmentioning
confidence: 99%