The differential diagnosis of mediastinal masses encompasses a vast spectrum ranging from benign tumors to Figure Kits notorious malignancies.Mediastinal lipoma is a very rarely encountered mediastinal mass.It is usually an incidentally unearthed finding.
It has a classical radiographic countenance.Knowledge of its existence and presentation aids early diagnosis and can avert unnecessary invasive investigations for alternative diagnosis.The radiographic picture of cardiophrenic obliteration may be seen in a number of heterogeneous conditions such as loculated pleural effusion, pericardial effusion, diaphragmatic hernias, or in certain mediastinal masses.
However, mediastinal masses are rarely kept as a differential of this radiological presentation due to a lack of here awareness.This leads to performance of invasive tests like thoracocentesis.We herein report an interesting case of mediastinal lipoma incidentally picked up during a chest radiograph done as a part of preoperative evaluation for an unrelated diagnosis.
The chest radiograph exhibited a lesion with an obliteration of the right cardiophrenic angle.