Ja. Miller et al., Transient mediastinal enlargement: An unusual computed tomographic manifestation of pulmonary venous hypertension and congestive heart failure, RESPIRATION, 67(2), 2000, pp. 216-218
We describe a case of diffuse superior and middle mediastinal enlargement o
f soft tissue attenuation noted on helical computed tomography (CT) of a pa
tient with clinical and radiographic findings of congestive heart failure (
CHF), Upon treatment and improvement of his pulmonary venous hypertension,
a repeat CT scan revealed resolution of the mediastinal abnormalities. We,
therefore, advocate a search for primary CT signs of CHF in patients with f
indings of widespread mediastinal distension. If present, repeat CT scannin
g after resolution of the cardiac condition should be performed before furt
her intervention for the mediastinal abnormality is attempted. Copyright (C
) 2000 S. Karger AG, Basel.