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Year : 2005  |  Volume : 15  |  Issue : 1  |  Page : 137-138
Radiological quiz - chest

Departments of Radiology and Gastroenterology, Medical College hospital, Kozhikode 673008, Kerala, India

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How to cite this article:
Harikumar R, Chettupuzha A P, Thomas V, Raman R V, Vasuchembukkara. Radiological quiz - chest. Indian J Radiol Imaging 2005;15:137-8

How to cite this URL:
Harikumar R, Chettupuzha A P, Thomas V, Raman R V, Vasuchembukkara. Radiological quiz - chest. Indian J Radiol Imaging [serial online] 2005 [cited 2020 May 30];15:137-8. Available from:
A 40-year-old chronic alcoholic presented with severe non-colicky upper abdominal pain with radiation to back. He also complained of dyspnoea and dysphagia on second day of illness. His serum amylase was 433IU/dl. CT abdomen showed non-enhancing hypo dense area at the tail of pancreas along with retroperitoneal pseudocyst. There was left sided pleural effusion, with pleural fluid amylase level of 11256IU/dl. A diagnosis of acute alcoholic pancreatitis was made.

He was also investigated for cause of dysphagia. Computerized Tomogram (C.T) of thorax was taken in view of luminal narrowing due to extrinsic compression seen on oesophagoscopy. There was a rare finding in the CT Thorax [Figure - 1] which was confirmed by Endoscopic Retrograde Cholangio Pancreatography (E.R.C.P). Left cardiac border on Chest Radiograph (C.X.R) assumed a peculiar transformation after E.R.C.P. What is this rare complication of acute pancreatitis on CT thorax? Comment on the transformation of the left cardiac border before and after E.R.C.P. [Figure - 2][Figure - 3]

   Radiological Diagnosis Top

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   References Top

1.Baranyai Z, Jacab F. Pancreatic pseudocyst propagating into retroperitoneum and mediastinum. Acta Chir Hung 1997; 36(1-4): 16-7   Back to cited text no. 1    
2.Johnston RH, Owensby LC, Vargas GM, Garcia-Rinaldi R. Pancreatic pseudocyst of the mediastinum. Ann Thorac Surg 1986; 41: 210-12   Back to cited text no. 2    
3.Obuszko Z, Beggs D. Dysphagia due to pancreatic pseudocyst with mediastinal extension. Eur J Cardiothorac Surg 1998; 13(3): 316-8   Back to cited text no. 3    
4.Maier W, Roscher R, Malfertheiner P, Schmidt E, Buchler M. Pancreatic pseudocyst of the mediastinum. Evaluation by CT. Eur J Radiol 1986; 6(1): 70-2   Back to cited text no. 4    
5.Kirchner SG, Heller RM, Smith CW. Pancreatic pseudocyst of the mediastinum. Radiology 1977; 123: 37-42   Back to cited text no. 5  [PUBMED]  
6.Mallavarpu R, Habib TH, Elton E, Goldberg MJ. Resolution of mediastinal pancreatic pseudocyst with transpapillary stent placement. Gastrointest Endosc 2001; 53(3): 367-70  Back to cited text no. 6    

Correspondence Address:
R V Raman
Department of Radiology, Medical College Hospital, Kozhikode 673008, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-3026.29189

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[Figure - 1], [Figure - 2], [Figure - 3], [Figure - 4], [Figure - 5], [Figure - 6]


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