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On the frontal projection, there is a large opacity in the left mid and lower zone, with somewhat well defined upper border. The left cardiac border, hilum and left hemidiaphram are all silhouetted by the opacity. The trachea and heart are deviated to the right side. No evidence of definite calcification within the mass. The right lung appears unremarkable.
On the lateral projection, the retrosternal space (normally air lucent) appears to be filled with the mass. The anterior cardiac border is silhouetted by the mass also. Left hemidiaphragm is not seen.
Impression: Imaging appearances are very suggestive of antero-superior mediastinal mass.