L K B R  
 
20 year Female  
 
Main complaint:  
 
Cough with whitish sputum for 6 months. Shortness of breath for 2 months  
Since December 2008, had few episodes of hemoptysis  
 
Investigations done:  
 
CT Scan 26.12.08- Anterior mediastinal cystic mass.  
 
CTScan 2.7.09 –( R) Pnemothorax with partial collapse of ® middle and lower lobes of lung. Minimal effusion see.  
 
Treatment  
 
17.6.09 – Underwent limited posterolateral thoracotomy and excision of ® bronchogenic cyst.  
 
Operative findings: Large cystic mass freed from ® upper lobe . Within cavity of this cyst was another small clear cystic mass. The fluid in the large cavity was milky.  
 
Histopathology report: 18,6.09- Well differentiated neuroendocrine carcinoma.