Esophago-pulmonary fistula manifesting as recurrent pneumonias and migrating mediastinal calcifications.

Esophago-pulmonary fistula manifesting as recurrent pneumonias and migrating mediastinal calcifications. Monaldi Arch Chest Dis. 2017 May 18;87(1):813 Authors: Kebbe J, Yendamuri S, Roche C, Harris K, Dhillon SS Abstract A 43-year old man presented with recurrent pneumonias, episodes of hemoptysis and an enlarging right lower lobe mass. A clear diagnosis was not previously established in spite of multiple radiological evaluations and biopsies. Meticulous review of his CT imaging showed that he had subcarinal calcification on his prior CT scans, which had decreased in size and now multiple new small areas of calcifications were seen in the right lower lobe lesion. An esophago-pulmonary fistula due to migration of mediastinal calcifications was suspected which was identified on careful review of the CT chest and confirmed by esophagogastroduodenoscopy. Patient had surgical repair with complete recovery. PMID: 28635204 [PubMed - in process]
Source: Monaldi Archives for Chest Disease - Category: Respiratory Medicine Tags: Monaldi Arch Chest Dis Source Type: research