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An Asymptomatic Right Tracheobronchial Mass on Chest Radiograph*

Pyng Lee, MD; Cynthia Bin Eng Chee, MD; Yee Tang Wang, MD
Author and Funding Information

*From the Department of Respiratory Medicine, Tan Tock Seng Hospital, Singapore.

Correspondence to: Yee Tang Wang, MD, Department of Respiratory Medicine, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433; e-mail: lee_pyng@notes.ttsh.gov.sg



Chest. 2001;119(5):1582-1585. doi:10.1378/chest.119.5.1582
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Extract

An asymptomatic 20-year-old Indian woman presented to our department with a prominent right tracheobronchial mass detected on a preemployment chest radiograph. She had an uneventful childhood and did not have any significant medical or surgical history. Clinical examinations of the cardiovascular and respiratory systems and the abdomen were normal.

The chest radiograph showed a right tracheobronchial mass with deviation of the right paravertebral pleura. The cardiac silhouette was normal, and the gastric bubble was seen below the left hemidiaphragm (Fig 1 ). Lateral chest radiograph revealed that the mass was behind the trachea and there was an absence of the inferior vena cava (IVC) shadow (Fig 2 ). CT of the thorax and abdomen showed the azygos vein to be dilated (Fig 3 ) as a result of absent infrahepatic IVC (Fig 4 ). The cardiac chambers, lungs, liver, and hepatic veins were normal, and there was no situs inversus.

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