MULTIDETECTOR COMPUTED TOMOGRAPHIC EVALUATION OF MEDIASTINAL MASSES

Volume : VII, Issue : I, January - 2017

Dr. Varsha V Jadhav, Dr. Ramesh R Chaple

Introduction: CT is indispensable in imaging mediastinum. CT is able to characterise, localize and assess the extent of

mediastinal lesion.

Aims and Objectives:To study CT characteristics, distribution of mediastinal masses and involvement of neighbouring structures. To compare CT

findings with histopathological diagnosis and find sensitivity of CT for diagnosing mediastinal masses.

Methods: 50 patients were selected from November 2010 to October 2012. In all cases plain with contrast CT thorax was done.

Results: Majority of mediastinal masses were in anterior 26(52%) followed by posterior 15(30%) and middle 9(18%) mediastinum. lymph nodal

masses constituted 40%(n=20) of total mediastinal masses. Among these metastatic lymph node involvement is predominant(45%).?ymic

masses 26.9%(n=7), metastatic lymph node 44.4%(n=4), neural tumors 33.3%(n=5) were most common masses in anterior, middle and posterior

mediastinum respectively. CT appears 94% sensitive for diagnosing mediastinal mass.

Conclusion: CT has significant role to play in evaluation of mediastinal masses.