Malignant thymoma

Case contributed by Valerio Giacalone
Diagnosis almost certain

Presentation

The patient underwent a chest X-ray examination for cough and intercostal pain.

Patient Data

Age: 50 years
Gender: Male

Chest x-ray

x-ray

On X-ray, a left mediastinal widening is appreciated.
The lung parenchyma does not show any significant changes.

Supplementation with CT examination is recommended.

Chest CT

ct

On CT examination without contrast medium, a hypodense oval nodule in the left paramedian mediastinum is appreciated, with some calcification in the context and thin, yeast-like patches.

Post operative chest x-ray

x-ray

Chest X-ray examination performed after surgery.

Case Discussion

On chest X-ray for cough and chest pain, an occasional finding was left paramedian mediastinal widening.

A non-contrast CT scan revealed a hypodense nodularity with contextual calcifications in the left paramedian mediastinal area. 

The patient underwent a TC examination with contrast at another clinic.
He underwent removal of the nodule with a histological finding of malignant thymoma.
He underwent a follow-up X-ray 2 months after surgery.

 

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