MDCT Paediatric Thoracic Neuroblastoma

Coronal and Sagittal after contrast.

Patient commonly present with chest pain, cough and respiratory distress due to airway obstruction.
Chest radiograph is the initial radiological investigation to be done in such patients. It can demonstrates homogeneous opacity mass in the mediastinum. If the tumor is large, there may be extrinsic compression and displacement of trachea and main bronchus with mediastinal shift.
Erosion of posterior ends of contiguous ribs and asymmetrical
widening of inercostal spaces may be seen on frontal
chest radiograph. Intraspinal extension may be seen as
loss of vertebral height with widening of neural foramina on lateral radiograph.
Approximately 50% of the lesions show calcification on radiograph.