An infant presented with an asymptomatic paraspinal thoracic mass. Che
st radiograph and CT scan supported the diagnosis of neuroblastoma, as
did the intraoperative gross appearance and location of the mass, whi
ch involved the sympathetic chain. However, histologic diagnosis confi
rmed an isolated hemangioma of the sympathetic ganglion, which has not
been reported previously. Hemangioma should be considered in the diff
erential diagnosis of all mediastinal masses.