NOTE: This is a special prototype case, presented by a former fellow.
PRESENTING FELLOWCandice Bjornson, MD FRCP(C), University of Calgary
REASON FOR REFERRAL5.5 cm paratracheal mass on CXR
CASE PRESENTATIONS.L. is a 9-year-old Native Canadian boy from a Native Reservation in Western Alberta. He was referred to the Respirology for assessment of a 5.5 cm paratracheal mass found on CXR.
He is a previously healthy boy, who developed a cough in February of 1999. He was treated for a presumed pneumonia. However, no CXR had been obtained. His cough persisted following treatment, but he was otherwise asymptomatic. His grandmother continued to be concerned, and upon revisiting his family physician, a CXR was done which revealed the mass. Unfortunately, the CXR cannot be located, thus I show the scout view from his Chest CT:
WOULD ANYONE CARE TO OFFER A DIFFERENTIAL DIAGNOSIS AT THIS POINT