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Case of the Week 373




What's the most likely diagnosis?

  • 3 month-old male with chest x-ray for cold symptoms



Frontal chest radiograph

1. Scimitar syndrome
2. Substernal thyroid
3. Neuroblastoma
4. Diaphragmatic hernia
5. Sequestration

Additional Images - CT and MRI

 

Additional Images

.

Contrast-enhanced coronal reconstruction and
T1W MRI with Gadolinium


Answer:

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3. Neuroblastoma

.

.

More (Click Discussion Tab)


Neuroblastoma

 General Considerations

  • Malignant tumor of neural crest cells
  • Most common extracranial solid tumor in infancy
  • 7.8% childhood cancers
  • Most common posterior mediastinal mass in children

    More ...


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    LearningRadiology.com
    is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.