Presentation
Chest pain.
Patient Data
Age: 75 years
Gender: Male
From the case:
Mediastinal lymphadenopathy
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Convex AP window silhouette, bulky main pulmonary trunk silhouette and right apical opacity. Lungs and pleural spaces are clear. Cardiac silhouette is not enlarged.
From the case:
Mediastinal lymphadenopathy
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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.
From the case:
Mediastinal lymphadenopathy
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Convex AP window silhouette (red), bulky main pulmonary trunk silhouette (blue) and right apical opacity (yellow).
Case Discussion
An example of AP window lymphadenopathy, along with lymphadenopathy mimicking an enlarged main pulmonary trunk.
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