Localized Fibrosing Mediastinitis Causing Pulmonary Infarction: A Case Report

• Published in: Journal of the Korean Society of Radiology Vol. 74; no. 6; pp. 403 - 406
• Main Authors: Sur, Young Keun, Kim, Eun Young, Kang, Doo Kyoung, Park, Kyung Joo, Koh, Young Wha, Sun, Joo Sung
• Format: Journal Article
• Language: English
• Published: The Korean Society of Radiology 01-06-2016; 대한영상의학회
• Subjects: fibrosing mediastinitis; mediastinal fibrosis; sclerosing mediastinitis; 방사선과학
• ISSN: 1738-2637; 2288-2928; 2951-0805
• DOI: 10.3348/jksr.2016.74.6.403

A 44-year-old female patient visited our emergency room for hemoptysis and refractory chest wall pain of 2 months duration. She had no history of smoking or other medical conditions. Chest CT scan showed homogenously enhancing soft tissue mass without calcification at the left pulmonary hilum. Encasing and compression of the left lower pulmonary artery by the mass had resulted in pulmonary infarction in the left lower lobe. Laboratory tests for tuberculosis, fungus, and vasculitis were all negative. The patient underwent surgical biopsy and resection of infarcted left lower lobe that was histopathologically confirmed as fibrosing mediastinitis. Herein, we reported a rare case of surgically confirmed and treated localized fibrosing mediastinitis causing pulmonary infarction.