Primary mediastinal lymphoma with breast involvement

Case contributed by Pir Abdul Ahad Aziz Qureshi
Diagnosis certain

Presentation

Lymphoma; restaging PET-CT scan

Patient Data

Age: 30 years
Gender: Female

Large hypermetabolic infiltrative mediastinal mass with contiguous anterior chest wall involvement. Hypermetabolic soft tissue is also seen involving the left breast. Mildly avid right lung nodules can also be appreciated representing pulmonary involvement (these were better appreciated on lung window which unfortunately are not available currently). Moderate non-avid right pleural effusion is noted. 

Case Discussion

Biopsy proven case of primary mediastinal B-cell lymphoma with left breast and right lung involvement.

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