case_images: PMC6882555_01
case_images: High digestive endoscopy and echoendoscopy. (A and B) Lateral wall bulging of esophagus wall, with elevated fusiform injury and erosion; (C) Echoguided puncture of mediastinal lymph node; (D) Hypoechogenic lymph node, heterogenous, with hyperechogenic center, and hypervascularization showed in Doppler ultrasound (high flow) measuring around 15mm; (E) Qualitative elastography with soft characteristics (green-like)
case_images: 2317-6385-eins-17-04-eMD5157-gf01.jpg
case_images: PMC6882555_01_2317-6385-eins-17-04-eMD5157-gf01.jpg
case_images: f1
case_images: Some lymph nodes had contiguity with esophagus wall (Figure 1).
case_images: PMC6882555_02
case_images: Subcarinal lymph node. (A) Reconstruction of chest tomography in axial, coronal and sagittal cuts, with increased subcarinal lymph node (white arrow); (B) Hypoechogenic lymph node, homogenous, with hyperechogenic, measuring around 30mm; (C) Qualitative elastography with benign characteristic (green axis); (D) Echoguided puncture
case_images: 2317-6385-eins-17-04-eMD5157-gf02.jpg
case_images: PMC6882555_02_2317-6385-eins-17-04-eMD5157-gf02.jpg
case_images: f2
case_images: Qualitative elastography showed soft consistence (Figure 2).
case_images: PMC6882555_03
case_images: Paratracheal lymph node. (A) positron tomography emission imaging with left paratracheal lymph node (SUV 5.5); (B) Reconstruction in chest tomography in axial and coronal cuts, with increased lymph nodes (white arrow); (C) Endoscopic ultrasound showed hypoechogenic, homogenous lymph node measuring around 25mm; (D) Qualitative elastography with intermediary rigidity characteristics (blue and green); (E) Echoguided puncture
case_images: 2317-6385-eins-17-04-eMD5157-gf03.jpg
case_images: PMC6882555_03_2317-6385-eins-17-04-eMD5157-gf03.jpg
case_images: f3
case_images: We conducted PAAF of 22G (Figure 3).
case_images: PMC6882555_04
case_images: Mediastinal enlargement. (A) Chest radiograph; (B) Reconstruction of chest tomography in axial, coronal and sagittal cuts, with increased lymph nodes (white arrows); (C) Endoscopic ultrasound showed hypoechogenic, homogenous, lymph nodes measuring around 25mm; (D) Qualitative elastography with benign characteristics (green-like)
case_images: 2317-6385-eins-17-04-eMD5157-gf04.jpg
case_images: PMC6882555_04_2317-6385-eins-17-04-eMD5157-gf04.jpg
case_images: f4
case_images: Echoguided punctures were conducted (Figure 4).