CASE 720_721: MEDIASTINAL LIPOMATOSIS, Dr PHAN THANH HẢI, Dr NGUYÊN TUYẾT VÂN, Dr HÔ CHÍ TRUNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

Case 01:A 19 year-old man with  fever and dyspnea for one month.

Cardiac ultrasound could not explore the anterior of the heart but no ventricular hypertrophy was noted.

Abdominal ultrasound revealed a right pleural effusion and the right lung in solid, hyperechoic pattern.

Chest X-RAY noted an anterior mediastinal tumor that covered the heart, maybe a mediastinal lipoma.

MSCT  confirmed an anterior mediastinal tumor.

But the patient and his family denied surgery.

Case 02: 15 years before, a 54 year-old man  with a tumor which enlarged the anterior mediastinal space on the chest X-ray film.

Cardiac ultrasound detected an anterior mediastinal mass and non cardiomegaly.

MSCT confirmed an anterior mediastinal mass.

Surgery removed the anterior mediastinal lipoma.

Chest X-RAY film post-of came back normally with no mediastinal tumor. 

Mediastinal lipoma is a rare benign entity which may detect incidentally with dyspnea, difficult speaking and swallowing.

Heart shadow is large on chest X-RAY  film but EKG and ultrasound are normally appearances.

MSCT detected exactly the tumor which has fatty density of 95 HU.

And it needs any further invasive technique to diagnose and management. 

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