CASE 185: MEDIC RADIOLOGY CASE 03: RETROCARDIAC MASS, Dr NGUYỄN VĂN CÔNG-Dr HỒ CHÍ TRUNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM

61 yo female patient went to Medic Center for a health check-up be cause her sister recently died from lung cancer.

 

PA and lateral chest XR revealed of a suspicious big mass  of 11x 5cm on L lung base : was that a tumor?

  

An ultrasound examination was performed to know that mass is solid or cystic nature. To our surprise, a typical structure of a kidney is detected by echography in ectopic situation but difficult to certified it is above or under the L diaphragm.

The problem was easily resolved by  CT scan with contrast showed nicely the L kidney well vascularized and preserved function herniated through Bochdalek foramen.

So it was an ectopic thoracic kidney and diaphagmatic hernia.