Thymic sail sign

Case contributed by Abdallah Al Khateeb
Diagnosis almost certain

Presentation

Cough.

Patient Data

Age: 7 months
Gender: Female
x-ray

Sail-like opacity within the superior mediastinum and the left upper lung zone.

Case Discussion

Oftentimes, the inferior margin of the thymus gland in the pediatric population can be seen as a triangular opacity superimposed on one lung field. This appearance, which is considered normal on a child's chest radiograph, has resemblance to the sail of a boat, thus it is referred to as thymic sail sign.

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