Fibrosing Mediastinitis With Right Sided Aortic Arch

Prof .Nedumaran MD DM, Prof. of Medicine

Dr.Arul MD, Dr.Pratheesh .PP

Coimbatore Medical College

 

Sixty year-old male admitted for complaints of shortness of breath with dilated veins over chest wall and facial puffiness clinically featuring as possibility of superior vena caval obstruction due to carcinoma bronchus.

Investigation of the CT and MRI chest interestingly revealed Fibrosing Mediastinitis with right sided aortic arch which is a rare presentation. The biopsy was not contributory for any etiology with possibility of Idiopathic Fibrosing Mediastinitis.

CT scan chest shows fibrosis of mediastinum (black arrow) distended azygos vein (white arrow), Right sided aorta (white arrow head)
MRI chest shows fibrosis of mediastinum and right sided aortic arch