Case contributed by Townsville radiology training


Night sweats, loss-of-weight over 6 weeks.

Patient Data

Age: 50 years
Gender: Male

Massive widening of the superior mediastinum. A well defined density in the right lower zone with a moderate right pleural effusion. Evidence of previous aortic valve surgery.


Images were taken 6 days later after the commencement of chemotherapy demonstrating a reduction in the size of the mediastinum compared to previous chest radiograph. Right pleural effusion and streak artifact from the aortic valve replacement.

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