Volume 155, Issue 3, Pages e65-e68 (March 2019)

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Volume 155, Issue 3, Pages e65-e68 (March 2019) A 44-Year-Old Man With Nonproductive Cough and Sensation of Heaviness Over the Upper Chest Irfan Ismail Ayub, MD, DM, Hariprasad Balakrishnan, DNB, Abdul Majeed Arshad, MD, Natraj Manimaran, MD, Dhanasekar Thangaswamy, DNB, Chandrasekar Chockalingam, MD CHEST Volume 155, Issue 3, Pages e65-e68 (March 2019) DOI: 10.1016/j.chest.2018.09.035 Copyright © 2019 American College of Chest Physicians Terms and Conditions

Figure 1 A-F, The left and right columns show images obtained prior to and following endobronchial ultrasound-guided transbronchial needle aspiration. A, B, Posteroanterior view on chest radiograph showing right paratracheal opacity (A) and right paratracheal air-fluid level (B). C, D, CT scan of chest at the level of arch of aorta with right paratracheal mass with internal area of hypoattenuation (C) and air fluid level (D). E, F, Coronal reconstruction images on CT scan showing right paratracheal mass and narrowing of the superior vena cava where it joins the right atrium (E) and right paratracheal air column with normal patency of the superior vena cava (F). CHEST 2019 155, e65-e68DOI: (10.1016/j.chest.2018.09.035) Copyright © 2019 American College of Chest Physicians Terms and Conditions

Figure 2 From left to right: endobronchial ultrasound-guided transbronchial needle aspiration of the anechoic structure at 4R station; bronchoscopic view of puncture site at 4R station; and aspirated clear fluid. CHEST 2019 155, e65-e68DOI: (10.1016/j.chest.2018.09.035) Copyright © 2019 American College of Chest Physicians Terms and Conditions