Mediastinal lymphadenopathy

Case contributed by Dr Henry Knipe

Presentation

Chest pain.

Patient Data

Age: 75 years
Gender: Male
X-ray

Convex AP window silhouette, bulky main pulmonary trunk silhouette and right apical opacity. Lungs and pleural spaces are clear. Cardiac silhouette is not enlarged. 

CT

There are multiple large mediastinal lymph nodes, for example in the aortopulmonary window, in the anterior mediastinum, in the epicardial fat on the left, adjacent to the left pericardium , in the left paratracheal space, and subcarinally. The overall appearance is in keeping with lymphoma.

Case Discussion

Nice example of AP window lymphadenopathy, along with lymphadenopathy mimicking an enlarged main pulmonary trunk. 

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Case information

rID: 53456
Case created: 18th May 2017
Last edited: 25th Sep 2017
System: Chest
Inclusion in quiz mode: Included

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