What is the importance of using multiplanar reconstruction?
We can see if there is vascular infiltration or if the tumor is just pushing away structures.
Differencial diagnosis in this CT
Lymphoma, teratoma, lesions in thyroid, thymoma. Also known as "the 4 T" always found on superior mediastinum.
CT with contrast of the chest shows a solid soft tissue density (20 - 41 HU) lesion with irregular mildly enhancing margins. This measures 6.25 x 5.15 cm in maximal diameter. Multiple perilesional lymph nodes were seen. The mass moves the major aortic branches posteriorly without invading them.
Infiltration of sternocostal junction is shown on the left, extending into the pectoralis major muscle. Tomographic findings suggest an invasive thymoma or thymic lymphoma.
Inflammatory changes are seen in the left breast.