Mediastinal lymphadenopathy

Case contributed by Dr Henry Knipe


Chest pain.

Patient Data

Age: 75 years
Gender: Male

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


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.

Annotated image

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. 

PlayAdd to Share

Case information

rID: 53456
Published: 24th May 2017
Last edited: 24th Mar 2020
System: Oncology, Chest
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.