Mediastinal lymphoma

Case contributed by Dr Ayush Goel

Presentation

Young boy presented with chest pain and cough. No fever.

Patient Data

Age: 13 years
Gender: Male
Modality: CT

Non-enhancing anterior mediastinal mass with cystic areas, measuring 9.3 x 6.3 cms, with an associated pericardial effusion.

Post chemotherapy

Modality: CT

Significant regression of the anterior mediastinal mass, now measuring 4.3 x 4 cm. The pericardial effusion has resolved.

After 1 week, presented with headache

Modality: CT

There is vasogenic edema involving left basifrontal and bilateral high parietal regions. No clear evidence of ring enhancing lesion could be made out.

Case Discussion

Biopsy proven case of T-cell lymphoblastic lymphoma.

After documenting cerebral edema, MRI was suggested (patient lost to further follow-up)

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Case Information

rID: 25431
Case created: 25th Oct 2013
Last edited: 23rd Dec 2016
Systems: Chest, Paediatrics
Inclusion in quiz mode: Included

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