Calcified anterior mediastinal mass: treated lymphoma

Case contributed by Dr Craig Hacking

Presentation

Fever

Patient Data

Age: 38
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 tumours

When calcified, the DDx is:

  • treated lymphoma
  • aortitis
  • germ cell tumour
  • goitre
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Case Information

rID: 35748
Case created: 21st Apr 2015
Last edited: 5th Sep 2015
Systems: Chest, Haematology
Inclusion in quiz mode: Included

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