الفهرس | Only 14 pages are availabe for public view |
Abstract Summary & Conclusion This thesis aimed at evaluation of the role of multidetector CT in diagnosis of mediastinal masses based on the characteristic imaging appearances which can lead to a correct diagnosis and optimal management. Post processing techniques (coronal& sagittal reconstructions, VR ,MIP & 3D techniques) further improve the diagnosis &surgical planning . MDCT has shorter imaging time & better spatial resolution than MRI especially in the mediastinum; besides being more widely available & less expensive. The additional role of CT is in performing CT guided biopsies if needed. Mediastinal masses can be asymptomatic or symptomatic; most of symptoms occurs due to pressure effect and small size of the chest cavity in infants and children, The symptoms which most commonly observed are persistent cough and dyspnea This study included 40 patients with mediastinal masses evaluated according to clinical data, diagnostic Procedure (MDCT), histopathological evaluation. Cases with anterior mediastinal masses were 40%, middle were 20% and those with posterior mediastinal masses were 40%. Masses of anterior mediastinum include thymoma , lymphoma , mature teratoma , retrosternal thyroid and Morgagni hernia . while masses of middle mediastinum include aortic aneurysm, Hiatus hernia ,lymphoma and lymphadenopathy. Whereas neuroblastoma , ganglioneuroma , schwannomatosis , esophageal lesions (esophageal leiomyoma , oesophageal achalasia ,oeophageal carcinoma) and Bockdalek hernia are masses of posterior mediastinum |