Attended Accident and Emergency. Shortness of breath and chest pain.
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Large symmetrical anterior mediastinal mass.
The superior aspect of the mass ' fades away ' in keeping with this being a superior mediastinal mass, in particular the thyroid gland.
No significant tracheal displacement,
Mediastinal masses are classically classified into being anterior, middle or posterior in location. This is hypothetical in that:
- these mediastinal spaces are anatomical rather than structural
- many mediastinal masses with involve more than one space
Anterior mediastinal masses are composed largely of the the 4Ts:
- thyroid gland (most common)
- "terrible" lymphoma