Radiological Evaluation of Mediastinal lymphadenopathy and Masses

Abstract

Feryal Gorieh

Background: Mediastinal masses and nodes are considered frequent pathological lesions in most countries of the world, especially Syria, and because they cause clinical symptoms ranging from mild to severe, they are diagnosed qualitatively with simple radiography and computed tomography. This study aims to study the role of radiological, laboratory and clinical diagnostic methods in detecting Mediastinal nodes and masses for better placement a treatment plan to achieve optimal recovery.

Methods and Materials: From the archives of patients at Al-Mowasat University Hospital, cases of diagnosed mediastinal nodes and masses were monitored in the Radiology Division and the Thoracic Internal Medicine Division, and the cases were followed up and managed in the Thoracic Surgery Division in the hospital within the period extending from 3/19/2023 to 8/2/2023, with reference to the Division’s archives. Radiology available on the PAX network, and analysis of simple radiographs and CT scans.

The study included 456 patients, 105 cases of intramediastinal masses, and 351 cases of lymph nodes. Most of the mediastinal masses were primary (23%), the percentage of lymph nodes was (77%), the percentage of anterior mediastinal masses was (62%), and the percentage of middle mediastinal masses was (25%). ), the percentage of posterior mediastinal masses (13%), the percentage of cases that enhance contrast material (52%), the percentage of cough (50%), stridor (13%), tracheal deviated (5%), and the percentage of inferior vena cava syndrome (3%) ), chest pain (30%), pleural effusion (20%), dysphagia (10%), Horner syndrome (3%), hoarseness, fever, and myalgia (3%), (4%), and (6%) on straight.

Conclusion: The radiological gold standard for evaluating and detecting mediastinal masses is CT before and after injection. Each mediastinal mass is studied by CT before and after injection.

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