TL;DR: Pretreatment CT findings from 50 patients with malignant pleural mesothelioma show thickening of the pleural surfaces of the interlobar fissures, pleural calcifications in 10 (20%), and pleural effusions in 37 (74%).
Abstract: Malignant pleural mesothelioma, a rare and usually fatal neoplasm that is associated with asbestos exposure, is being encountered with increasing frequency. Pretreatment CT findings from 50 patients with malignant pleural mesothelioma are illustrated. Pleural thickening was found in 46 (92%) of the 50 patients, thickening of the pleural surfaces of the interlobar fissures in 43 (86%), pleural calcifications in 10 (20%), and pleural effusions in 37 (74%). The volume of the involved hemithorax varied appreciably. Contractions of the involved hemithorax was noted in 21 (42%) of 50 patients and contralateral mediastinal shift in seven (14%). Disease beyond the parietal pleura was found in the chest wall (nine patients), mediastinum, lymph nodes, and diaphragm.
TL;DR: Six patients who showed severe malacic obstruction of the airway after mediastinal repositioning variously underwent aortic division with bypass graft and tracheal and bronchial resection and two died postoperatively.
TL;DR: Treatment of mediastinal cyst by thoracoscopy is feasible in most cases, and if the cysts have a common wall with the bronchus or esophagus, or if they are subcarinal, the dissection may be difficult and dangerous, and thoracotomy may be preferable.
TL;DR: Four new cases of scimitar syndrome illustrate the complex derangement of the right lung architecture and it is confirmed that the retrosternal opacity and indistinct right heart border are results of the mediastinal shift.
Abstract: Four new cases of scimitar syndrome illustrate the complex derangement of the right lung architecture. Computed tomography (CT) helped in demonstrating the hyparterial relationship of the right bronchus to the pulmonary artery, the course and termination of the scimitar vein, the mediastinal shift, unusual fissures, and abnormal lobation and bronchial distribution. The CT findings confirm that the retrosternal opacity and indistinct right heart border are results of the mediastinal shift. One case had features resembling, but clearly distinguishable from, the horseshoe lung syndrome.
TL;DR: Twenty cases of pneumonectomy in infants and children performed over a 35-yr period have been reviewed and the postoperative complications of progressive mediastinal shift can be minimized by the use of a pleural prosthesis.