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. 2024 Sep 1;41(5):382-384.
doi: 10.4103/lungindia.lungindia_249_24. Epub 2024 Aug 31.

A mediastinal lesion with superior vena cava obstruction: A diagnostic and therapeutic challenge

Sharada V Kutty  1 , Naren Chandra  1 , Karan Madan  1 , Ashu S Bhalla  2 , Priyanka Naranje  2 , Anant Mohan  1 , Vijay Hadda  1 , Junaid Kazimi  2 , Abhishek Jayant  2 , Shraddhanjali Satpathy  3 , Aruna Nambirajan  3 , Pawan Tiwari  1 , Saurabh Mittal  1
Affiliations

A mediastinal lesion with superior vena cava obstruction: A diagnostic and therapeutic challenge

Sharada V Kutty et al. Lung India. .
No abstract available

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) Clinical image showing dilated veins over the anterior chest and abdominal wall. (b) The chest radiograph revealed a widened right upper paratracheal stripe (arrow). (c and d) CT coronal (c) and axial (d) depict a sheet-like hypodense soft tissue (white arrow) in the right paratracheal region in the visceral compartment of the mediastinum, causing severe stenosis of the superior vena cava (red arrows) and endobronchial infiltration
Figure 2
Figure 2
(a) The bronchoscopic view demonstrates endobronchial infiltration, (b) The image during EBUS-TBNA from the right paratracheal lesion, (c) The EBUS-clot core biopsy shows fibrin, fragments of inflammatory granulation tissue and necrotizing epithelioid cell granuloma (arrow) HE × 4, (d) Ziehl-Neelsen staining revealed few beaded forms of acid-fast bacilli (circled), ZN × 100
Figure 3
Figure 3
(a) The Chest CT showed complete occlusion of the superior vena cava, (b) Contrast-enhanced CT showed the patent stent with good contrast opacification of the SVC (arrow) and resolution of the surrounding soft tissue. (c) The chest radiograph shows the stent in the right paratracheal region in SVC. (d) Disappearance of dilated veins over chest and abdomen post stenting
See this image and copyright information in PMC

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