A mass that has no (EBUS) echo

Rosenblum, Matthew; Wang, Sue X; Seeley, E. Scott

doi:10.1016/j.rmcr.2017.11.001

Cited by 4 publications

(3 citation statements)

References 11 publications

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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%

Giant subcutaneous bronchogenic cyst in the intergluteal cleft region of an adult: a case report and literature review

Zheng

Huang

2022

BMC Med Imaging

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Background Bronchogenic cysts (BCs) are generally detected in the mediastinum, along the tracheobronchial tree, or in the lung parenchyma. Subcutaneous BCs are rare, but, when found, are usually small (< 3 cm) and detected in children. Case presentation In an unusual adult case, we treated a 52-year-old woman who presented with a mass in the left intergluteal cleft region. Ultrasonography showed a well-circumscribed hypoechoic lesion with posterior enhancement and internal echogenic foci within the mass. Color Doppler images showed no signals. Computed tomography showed the mass as a homogeneous, 6.8- × 6.3- × 5.1-cm soft tissue-attenuation lesion lodged in subcutaneous fatty tissue. Magnetic resonance imaging revealed a cystic lesion of similar dimensions with heterogeneous hyperintensity on both T1- and T2-weighted images. No contrast enhancement, solid components, or restricted diffusion foci were apparent. The cyst was completely excised, and histopathological evaluation indicated it was a BC. The patient’s recovery was uneventful. Conclusions BCs should be considered in the differential diagnosis of all subcutaneous cystic masses, regardless of their location and size and the patient’s age.

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Section: Discussionmentioning

confidence: 99%

Giant subcutaneous bronchogenic cyst in the intergluteal cleft region of an adult: a case report and literature review

Zheng

Huang

2022

BMC Med Imaging

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“…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%

A 44-Year-Old Man With Nonproductive Cough and Sensation of Heaviness Over the Upper Chest

Ayub

Balakrishnan

Arshad

et al. 2019

Chest

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A 44-year-old man presented with progressively increasing nonproductive cough associated with a sensation of heaviness over the upper chest for 7 months. He had no dyspnea, fever, hemoptysis, chest pain, headache, or weight loss. His clinical examination was unremarkable. Complete blood hemogram, coagulation profile, blood sugar, and results of renal and liver function tests were normal; ECG and spirometry results were also normal. A posteroanterior view on chest radiograph showed a right paratracheal stripe. A contrast-enhanced CT scan of the chest revealed a right paratracheal mass extending to the precarinal area, measuring 33 Â 54 mm with internal hypoattenuation (0 Hounsfield unit) surrounded by an imperceptible wall, associated with narrowing of the superior vena cava (SVC) (Fig 1).Endobronchial ultrasonography (EBUS) was performed in the semi-recumbent position with the BF-UC180F convex probe echo-bronchoscope (Olympus America) via the oral route. The procedure was performed under IV conscious sedation (combination of IV midazolam and fentanyl), augmented with topical anesthesia with 2% lidocaine solution, along with continuous low-flow nasal oxygen and hemodynamic monitoring. Sequential scanning at a frequency of 7.5 MHz along the tracheal wall enabled the identification of an anechoic structure extending along the right paratracheal area, measuring w40 Â 70 mm distally and extending anteriorly over the precarinal area. EBUS-guided transbronchial needle aspiration (EBUS-TBNA) was performed at its most dependent distal end with a 21-gauge EBUS-TBNA needle (ViziShot single-use aspiration needle; Olympus America) (Fig 2, Video 1). Following puncture, suction was applied by using the VacLok negative pressure syringe (Merit Medical Systems) with a suction pressure of 20 cm H 2 O of air (Video 2). A total of 35 mL of clear straw-colored fluid was aspirated (Fig 2).

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“…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%

Convex probe endobronchial ultrasound: historical, contemporary, and cutting-edge applications

Avasarala¹,

Aravena²,

Almeida³

2020

J Thorac Dis

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The use of convex-probe endobronchial ultrasound (CP-EBUS) has revolutionized bronchoscopy. It has provided the option of a relatively safe, minimally invasive approach for the assessment of various intrathoracic diseases. In current practice, its most dramatic impact has been on the diagnosing and staging of lung cancer. It has served as an invaluable tool that has replaced mediastinoscopy in a variety of clinical scenarios. Many pulmonologists and thoracic surgeons consider CP-EBUS the most significant milestone in bronchoscopy after the development of the flexible bronchoscope itself. In this review, we summarize the historical aspects, current indications, technical approach, and future direction of CP-EBUS.

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A mass that has no (EBUS) echo

Cited by 4 publications

References 11 publications

Giant subcutaneous bronchogenic cyst in the intergluteal cleft region of an adult: a case report and literature review

Giant subcutaneous bronchogenic cyst in the intergluteal cleft region of an adult: a case report and literature review

A 44-Year-Old Man With Nonproductive Cough and Sensation of Heaviness Over the Upper Chest

Convex probe endobronchial ultrasound: historical, contemporary, and cutting-edge applications

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