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
CT

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

CT

Post chemotherapy

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

CT

After 1 week, presented with headache

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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