Mediastinal shadow

Mediastinitis can be divided into acute purulent infection and chronic fibrous lesion. The former has symptoms of acute infection, and the latter can cause various symptoms of superior vena cava compression syndrome or compression of other organs in the mediastinum. The X-ray showed broadening of the shadows on both sides of the mediastinum, and the upper mediastinum was obvious. The outline of both sides was blurred due to inflammation affecting the surrounding pleura. Lateral chest radiographs have increased posterior sternum density. The contours of the trachea and aortic arch are blurred. The formation of abscesses can be seen on one or both sides of the mediastinum, with prominent arc-shaped shadows. The trachea and esophagus are compressed and displaced. Mediastinal emphysema, abscess and fluid level, pleural effusion, fluid pneumothorax and other signs can also appear. Esophageal iodine oil or organic iodine contrast can confirm esophageal perforation, esophageal bronchial fistula, or esophageal pleural fistula. Computed tomography can detect mediastinitis caused by severe deep neck infections early.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.