A mass that has no (EBUS) echo.

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" A mass that has no (EBUS) echo. "
Rosenblum, Matthew KWang, Sue XSeeley, Eric J

Document Type	:	AL
Record Number	:	900391
Doc. No	:	LA6f05p3bn
Title & Author	:	A mass that has no (EBUS) echo. [Article]\ Rosenblum, Matthew KWang, Sue XSeeley, Eric J
Date	:	2018
Title of Periodical	:	UCSF
Abstract	:	We report findings for a patient that underwent endobronchial ultrasound (EBUS) guided transbronchial needle aspiration (TBNA) for diagnostic purposes after an abnormal chest CT. The patient initially presented with cough and shortness of breath. Chest CT revealed a 6 cm soft tissue mass with mildly enlarged right hilar lymph nodes (LNs) and a small right sided pleural effusion. Based on these radiologic findings, the patient underwent an EBUS guided FNA of the mass. To our surprise, the mass was hypoechoic by EBUS and on aspiration, the syringe filled with yellow fluid. This finding in combination with a re-review of the CT scans with a special focus on the Hounsfield Units of the lesion confirmed the diagnosis of a mediastinal bronchogenic cyst. This case demonstrates the role of Hounsfield units in analyzing mediastinal masses and highlights the effectiveness of EBUS guided TBNA in diagnosis and treatment of bronchogenic cysts.