Endobronchial ultrasonographically guided transbronchial needle aspiration in mediastinal abscesses Yen-Fu Chen, MD, Chao-Chi Ho, MD, PhD, Chung-Yu Chen,

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Endobronchial ultrasonographically guided transbronchial needle aspiration in mediastinal abscesses Yen-Fu Chen, MD, Chao-Chi Ho, MD, PhD, Chung-Yu Chen, MD, Chong-Jen Yu, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 145, Issue 6, Pages e54-e57 (June 2013) DOI: 10.1016/j.jtcvs.2013.02.025 Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Patient 1. A, Chest radiographic image showing a new lesion over the right upper lung lobe. B, Ultrasonographic image showing the 22-gauge needle (white arrow) of the endobronchial ultrasonographically guided transbronchial needle aspiration puncturing the fluid-filled mediastinal abscess. C, The aspiration vacuum syringe containing yellowish cloudy pus (white arrow) from the mediastinal abscess. D, Chest computed tomographic image showing a heterogeneous, hypodense lesion (diameter 5.8 cm) with an air-fluid level. E, Chest computed tomographic image after 1 month of treatment with antibiotics shows reduction in the size of the mediastinal abscess. The lesion in the left upper lobe of the lung, however, shows disease progression. The Journal of Thoracic and Cardiovascular Surgery 2013 145, e54-e57DOI: (10.1016/j.jtcvs.2013.02.025) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Patient 2. A, Chest computed tomographic image showing a large mass (diameter 5.3 cm) in the subcarinal area and posterior mediastinum, causing left atrial compression. B, Chest computed tomographic image obtained after 6 months of antituberculosis treatment showing regression in the mass (diameter 4.6 cm) at the subcarinal area and posterior mediastinum. C and D, The endobronchial ultrasonographically guided transbronchial needle aspiration image showing a large heterogeneous, hypoechoic cystic lesion over the subcarinal region and the 22-gauge needle (white arrow) puncturing into the subcarinal lesion with tissue aspiration. The Journal of Thoracic and Cardiovascular Surgery 2013 145, e54-e57DOI: (10.1016/j.jtcvs.2013.02.025) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions