Mediastinal extension of a pancreatic pseudocyst
The present case has been reported in the journal Radiology Case Reports.

A 50-year-old man with a history of chronic pancreatitis due to alcoholism presented with dyspnea, at which time he was diagnosed with pleural effusions, treated, and discharged. Two months later, he was readmitted with hemoptysis and abdominal pain.

CT and MRI of the chest demonstrated a mediastinal cystic mass that communicated with the retroperitoneum. Ultrasound-guided aspiration of the cystic mass revealed high levels of amylase, confirming that the mass was a rare pancreatic pseudocyst extending into the mediastinum.

Case highlights:-
- Mediastinal pancreatic pseudocyst is a rare entity that can cause serious complications if left untreated.

- A history of acute or chronic pancreatitis is key to its diagnosis.

- Exclusion of other diagnoses is an essential part of the workup due to the sensitive location of the entity and the potential danger of it being left undiagnosed and untreated.

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