Abstract
BackgroundMediastinal widening is a common finding on chest radiograph, and can be caused by numerous conditions. Most of these diseases have grave prognosis if accompanied by chest pain, and require immediate attention. However, mediastinal lipomatosis is a very benign condition caused by deposition of adipose tissue in the mediastinum.Case presentationWe present a case of a morbidly obese female patient who presented to emergency department with a fall. She had mediastinal widening on chest radiograph, and borderline low voltage on electrocardiogram. On computed tomography, mediastinal lipomatosis was evident.ConclusionObesity is a major epidemic in United States, and can lead to deposition of fat in the chest. Mediastinal lipomatosis is very benign condition, which rarely causes grave consequences.
Highlights
Obesity is a major epidemic in United States, and can lead to deposition of fat in the chest
Mediastinal widening is a common finding on chest radiograph, and can be caused by numerous conditions
Mediastinal lipomatosis is a very benign condition caused by deposition of adipose tissue in the mediastinum [1,2]
Summary
Mediastinal widening is a common finding on chest radiograph, and can be caused by numerous conditions. Most of these diseases have grave prognosis if accompanied by chest pain, and require immediate attention. A 68 year old woman with morbid obesity presented to the hospital with right hip pain secondary to an accidental fall. Her body mass index was very high at 52.2. Her medical history was significant for type 2 diabetes mellitus and hypertension She did not have any other complaints at the time of presentation. The patient was completely asymptomatic and no therapy was initiated except counseling regarding weight loss at the time of discharge
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