Severe Mediastinitis and Pericarditis After Transbronchial Needle Aspiration  Katsunari Matsuoka, MD, Atsushi Ito, MD, Yoshitake Murata, MD, Tadashi Sakane,

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Severe Mediastinitis and Pericarditis After Transbronchial Needle Aspiration  Katsunari Matsuoka, MD, Atsushi Ito, MD, Yoshitake Murata, MD, Tadashi Sakane, MD, Risa Watanabe, MD, Naoko Imanishi, MD, Takahisa Matsuoka, MD, Shinjiro Nagai, MD, Mitsuhiro Ueda, MD, Yoshihiro Miyamoto, MD  The Annals of Thoracic Surgery  Volume 100, Issue 5, Pages 1881-1883 (November 2015) DOI: 10.1016/j.athoracsur.2014.12.093 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Chest computed tomography before endobronchial ultrasonographically guided transbronchial needle aspiration (EBUS-TBNA) demonstrated (A) solitary nodule in upper lobe of right lung and (B) mediastinal paratracheal and (C) subcarinal lymph node swelling. The Annals of Thoracic Surgery 2015 100, 1881-1883DOI: (10.1016/j.athoracsur.2014.12.093) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A and B) Chest computed tomography after endobronchial ultrasonographically guided transbronchial needle aspiration (EBUS-TBNA) demonstrated further swelling of subcarinal lymph nodes. (C and D) Pericardial and bilateral pleural effusion developed and worsened within 3 days after admission. The Annals of Thoracic Surgery 2015 100, 1881-1883DOI: (10.1016/j.athoracsur.2014.12.093) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions