Widening Mediastinum (> 8cm on PA CXR)
- aortic aneurysm
- aortic dissection
- hilar lymphadenopathy
- inhalational anthrax. A widened mediastinum was found in 7 of the first 10 victims infected by anthrax (Bacillus anthracis) in 2001.
- esophageal rupture - presents usually with pneumomediastinum and pleural effusion. It is diagnosed with water soluable swallowed contrast.
- mediastinal mass
- cardiac tamponade
- pericardial effusion
- thoracic vertebrae fractures in trauma patients.
Trauma Post head-on collusion MVA - bleeding into the Mediastinum after
Laceration of the Large Vessels such as the Aorta or the SVC
Lymphoma enlarges the Mediastinal Lymph nodes
Cardiac hypertrophy widens the Inferior Mediastinum