Chylothorax due to Hodgkin lymphoma

Discussion:

Lots to see and think about with this case.

  1. Great chest x-ray: mediastinal mass, which would should be able to work out which mediastinal compartment it lies in. Hilum overlay sign evident.
  2. The differential for an anterior mediastinal mass - the 4T's.
  3. Chylothorax: indicating something is disrupting the thoracic duct.
  4. Role of CT is aiding a histological diagnosis through CT guided biopsy.

The appearances of the most fitting with a mediastinal lymphoma with pulmonary involvement, which was histologically confirmed.

A nice viva or long case for a fellowship exam, such as FRCR.

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