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Case Reports
. 2022 Mar;161(3):e145-e148.
doi: 10.1016/j.chest.2021.09.026.

A 34-Year-Old Man With a Neck Mass

Tamara Phiri  1 , Joep van Oosterhout  1 , Samuel Kampondeni  1 , Theresa Allain  1 , Henry C Mwandumba  2
Affiliations
Case Reports

A 34-Year-Old Man With a Neck Mass

Tamara Phiri et al. Chest. 2022 Mar.

Abstract

A 34-year-old man presented to Queen Elizabeth Central Hospital in Blantyre, Malawi with multiple enlarged right cervical lymph nodes. He had no associated constitutional symptoms. Fine-needle aspirate (FNA) of one of the lymph nodes was negative for acid-fast bacilli (AFB) by smear microscopy. The FNA specimen was not sent for histological examination. Mycobacterial culture and Xpert MTB/RIF were not available at the time. He tested positive for HIV but CD4 T-cell count was not requested at the time of HIV diagnosis, and he did not start antiretroviral therapy (ART) pending confirmation of the cause of lymphadenopathy. Excision biopsy of the lymph nodes was planned; however, the patient was lost to follow-up before the procedure was performed.

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Figures

Figure 1
Figure 1
Chest radiograph showing superior mediastinal mass (arrows) and tracheal deviation.
Figure 2
Figure 2
Noncontrast MRI scan of neck and upper thorax showing (A) right common carotid artery pseudoaneurysm, (B) proximal left subclavian artery pseudoaneurysm, and (C) pseudoaneurysm at the origin of the left subclavian artery.
See this image and copyright information in PMC

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