Calcified anterior mediastinal mass: treated lymphoma

Case contributed by Assoc Prof Craig Hacking



Patient Data

Age: 35-40 years
Gender: Female

Further history of previous lypmhoma.

The 5cm calcified anterior mediastinal mass represents treated lymphoma, and has not changed appreciably since the CT from 7 years aerlier. The lungs and pleural spaces are clear. Heart size and mediastinal contours are normal. No pneumothorax or free subdiaphragmatic gas.

Bilateral breast prostheses.

Case Discussion

The DDx for an anterior mediastinal mass can remembered with the 5T's mnemonic:

  • thymus mass
  • thyroid mass
  • tortuous vessels (thoracic aortic aneurysm)
  • terrible lymphoma
  • teratoma and germ cell tumors

When calcified, the DDx is:

  • treated lymphoma
  • aortitis
  • germ cell tumor
  • goiter
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Case information

rID: 35748
Published: 16th Jun 2015
Last edited: 27th Jun 2021
Inclusion in quiz mode: Included

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