Mediastinal lymphoma

Case contributed by Dr Mahomed A. Osman

Patient Data

Age: 40
Gender: Female
X-ray

There is a large mass in the right anterior mediastinum. Atelectasis in the right lower lobe. There are bilateral pleural effusions. The left lung is otherwise clear. No bony abnormality. 

CT

There is a large soft tissue mass arising in the the right anterior mediastinum, extending anteriorly through the chest wall and invading the inferior portion of the right pectoral muscles. The mass extends superiorly into the region of the right lung apex and inferiorly into the region of the right lung base. This is highly suggestive of a thymic or lymphatic tumour. 

There is a pericardial effusion. Heart size is within normal limits. Bilateral pleural effusions, worse on the right. There is a focal area of atelectasis in the right lower lobe, adjacent to the previously mentioned mediastinal mass.

Case Discussion

The mass was subsequently biopsied and histology confirmed it to be a B cell lymphoma.

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Case information

rID: 22201
Case created: 19th Mar 2013
Last edited: 13th Nov 2015
Systems: Chest, Haematology
Tag: crop
Inclusion in quiz mode: Included

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