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Case Report
SPINE

MR Imaging of a Posterior Mediastinal Ganglioneuroma: Fat as a Useful Diagnostic Sign

Sheila Duffya, Miral Jhaverib, Jennifer Scudierrec, Elizabeth Cochranc and Michael Huckmanb

a Department of Neurology, Rush University Medical Center, Chicago, IL
b Department of Radiology, Rush University Medical Center, Chicago, IL
c Department of Pathology, Rush University Medical Center, Chicago, IL

Address correspondence to Sheila Duffy, MD, Department of Neurology, Rush University Medical Center, 1653 W. Congress Parkway, Chicago, IL 60612

Summary: We report a case of a ganglioneuroma that was found incidentally on a CT of the abdomen in a 27-year-old woman with gastrointestinal symptoms. The tumor, though located in the posterior mediastinum, demonstrated an unusual feature of abundant adipose tissue on MR imaging. The mass was later resected, and adipose tissue intermixed within a ganglioneuroma was identified microscopically. Adipose tissue is a rare finding in a ganglioneuroma, but this radiographic feature may be useful in the evaluation of posterior mediastinal masses.