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The anterior and middle mediastinum on the right, in its tissue, at the level of the lateral wall of the aortic arch, megres with superior vena cava, reaching the wall of the right pulmonary artery is visualized uneven, non-uniform structure mass, approximate dimensions 6.3x4.2 cm, density +6....+56 HU. Significantly, the results of studies of native,we not can exclude invasion into vessels, as well as trombosis superior vena cava. Cellular tissue mediastinal is tightened, the countours of the braciocephalic, the superior vena cava blurred, their contents heightened density. In the pleural cavity on both sides is determined by the content, density -15...+20 HU. The small amout of pericardial fluid content. The lymph nodes of the mediastinum to the size of 1.6 cm.