Anterior mediastinal mass: Hodgkin lymphoma

Case contributed by Dr Henry Knipe

Presentation

Persistent dry cough and shortness of breath for two months.

Patient Data

Age: 60
Gender: Female
Modality: X-ray

Widening and abnormal contour of the right cardiomediastinal contour including opacity projecting over the right hilum - hilar vessels are visible through the mass. No pleural effusion or pneumothorax. Right apical pleural capping. Lungs elsewhere clear. Cardiac silhouette is not enlarged. No destructive bone lesion. 

Modality: X-ray

Lateral projection confirms anterior mediastinal mass with obliteration of the retrosternal airspace

Case Discussion

The patient went on to VATS-guided biopsy which demonstrated nodular sclerosing Hodgkin lymphoma. 

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Case Information

rID: 29950
Case created: 6th Jul 2014
Last edited: 17th May 2016
Systems: Chest, Haematology
Inclusion in quiz mode: Included

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