Spontaneous resolution of multilobar atelectasis secondary to fibrinous mediastinitis

Chronic active mediastinitis in a 7-year-old boy: MRI findings

“…Studies have shown a peak incidence in young adults, with a slight male predominance [2][3][4][5]. The pediatric age group is rarely affected [9]. Presenting symptoms are insidious and include dyspnea, mediastinal venoocclusive symp- [1-3, 6, 9].…”

“…The mediastinum is infiltrated by fibrous tissue, which can compromise or invade adjacent organs [1-3, 5, 9]. Medical therapy using corticosteroids, radiation, antibiotics and antifungal agents has not been promising [2,6,8,9]. Surgical intervention has been reserved for those cases involving organ or vascular compromise and for tissue diagnosis [2,6].…”