Intrathoracic challenging mass ultra-sonographic video presentation

Abstract

Background: The diagnostic value of lung ultrasound in identifying intra-thoracic masses following previous surgical interventions is shrouded in intrigue. Under-reporting and medico-legal concerns further complicate the identification and diagnosis of such cases. This study aims to unravel the enigmatic ultrasound characteristics of a unique intra-thoracic mass, accompanied by an enthralling ultrasound video presentation. Case report: In this captivating case, a 66-year-old patient, who had undergone aortic valve replacement surgery five years prior, presented for a routine check-up. An incidental hypo echoic image in the lung sparked further investigation. Imaging studies revealed a distinct round mass, and lung ultrasound provided intriguing insights into its features, including hypo echoic, hyper echoic density, posterior hyper echoic densities, and dynamic changes with probe manipulation. Surgical intervention uncovered a suppurated cystic formation and a retained surgical material from the previous procedure. Conclusion: The unconventional nature of an intra-thoracic round mass following prior surgical intervention adds an aura of mystique to this case. Diagnosis and management are complex due to limited reported cases and medico-legal considerations. By sharing the captivating ultrasound characteristics and video presentation of this unique case, we aim to deepen our understanding of this enigmatic phenomenon and raise awareness among clinicians. This knowledge can aid in the timely identification and appropriate management of similar cases, ultimately improving patient outcomes. The diagnostic value of lung ultrasound in intra-thoracic masses should not be overlooked, offering a radiation-free approach to post-operative follow-up and the detection of late complications.