Abstract
A 24-year old woman presented to the medical admissions unit with a 4-week history of chest pain and exertional dyspnoea. The pain radiated to the back and was worse when supine. She also complained of palpitations and dysphagia to solids. Clinical examination was unremarkable. Blood tests showed a normal full blood count and differential, electrolytes, liver enzymes and troponin. Chest radiography (Figure 1) demonstrated a rounded soft-tissue density mass at the posterior mediastinum elevating the right main bronchus. A subsequent computed tomography (CT) scan revealed this to be a fluid-filled structure at the subcarinal space (Figures 2 and 3) consistent with a bronchogenic cyst (BC). The cyst was seen to compress the right main bronchus, the left atrium …
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