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Previous Volume 333:175-181 July 20, 1995 Number 3 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

An 82-year-old woman was admitted to the hospital because of odynophagia and a large superior mediastinal mass.

The patient had severe kyphoscoliosis, with extensive intervertebral disk disease and associated degenerative changes. She had had intermittent heartburn for many years; an upper gastrointestinal series performed 4¹/2 years before admission was normal. Two-and-a-half months before admission the patient again reported heartburn, which was not relieved by small doses of antacid medication, and she began to have increasingly severe back pain centered around the first lumbar vertebral body. Examination showed a satisfactory and largely painless range of spinal motion and no local . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. David M. Shahian's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References

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