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Mediastinal myelolipoma: CT and MRI appearances
Authors:S Kawanami  H Watanabe  T Aoki  H Nakata  T Hayashi  M Kido  J Tsukada  S Eto
Institution:(1) Department of Radiology, University of Occupational and Environmental Health, School of Medicine, 1–1 Iseigaoka, Yahata-nishiku, Kitakyushu-shi, 807–8555, Japan, JP;(2) Department of Respiratory Disease, University of Occupational and Environmental Health, School of Medicine, 1–1 Iseigaoka, Yahata-nishiku, Kitakyushu-shi, 807–8555, Japan, JP;(3) Department of First Internal Medicine, University of Occupational and Environmental Health, School of Medicine, 1–1 Iseigaoka, Yahata-nishiku, Kitakyushu-shi, 807–8555, Japan, JP
Abstract:A 72-year-old man presented with a mediastinal mass on chest radiograph. Computed tomography and MR imaging showed that the mass consisted of both fatty and small nodular soft tissue components, highly suggestive of an extramedullary hematopoiesis or a myelolipoma. A CT-guided needle biopsy was next performed and confirmed the diagnosis. We discuss the CT and MR imaging appearances of this tumor and usefulness of a CT-guided needle biopsy to avoid surgery in asymptomatic patients. Received: 8 March 1999; Revised: 23 June 1999; Accepted: 25 June 1999
Keywords:: Myelolipoma –  Mediastinum –  Computed tomography –  MR imaging –  Biopsy
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