Case contributed by Danilo Ferreira Maia
Diagnosis certain


Patient with retrosternal pain and normal electrocardiogram. A mediastinal lesion was seen on chest radiograph.

Patient Data

Age: 65 years
Gender: Female

CT Chest


Large expansive lesion in the pre-vascular mediastinum, with heterogeneous impregnation by intravenous contrast, central areas of necrosis, and contacting the lower third of the right thyroid lobe, as well as, pulmonary artery trunk and brachycephalic venous trunk.

Case Discussion

After a CT-guided biopsy, the histopathological study revealed that it was a thymoma. The patient was submitted to surgical excision of the lesion and is now asymptomatic.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.