Superoanterior mediastinal mass

Case contributed by Townsville radiology training

Presentation

Hx of Hodgkin's lymphoma IIB. Diagnosed with ulcerative oesophagitis. CT + steroids. Worsening retrosternal chest pain, febrile, and septic. ? mediastinitis.

Patient Data

Age: 46
Gender: Male
X-ray

Mediastinal widening

CR - widened superior mediastinum.

Axial: Superoanterior mediastinal mass lesion. DDx: Lymphoma, thyoid (retrosternal extension - however thyroid is noted seperate), teratoma, germ cell testicular tumour, thymoma.

Coronal: Shows matted appearance of multiple lymph nodes in superior mediastinum and subcarinal. Typical appearance of Hodgkin's lymphoma.

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Case information

rID: 18873
Case created: 26th Jul 2012
Last edited: 24th Sep 2015
System: Chest
Inclusion in quiz mode: Included

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