The main finding of the study is the presence of ill-defined heterogeneous soft tissue mass with foci of calcification in the anterior mediastinum, extending downward to the anterior pericardium. The mass encases the superior mediastinal vessels with no gross evidence of infiltration or compression, shows faint heterogeneous post-contrast enhancement with areas of necrosis. There is associated mild pericardium thickening and pericardial effusion with cardiomegaly and myocardial thickening. There is also right-sided mild hydropneumothorax extending to the fissures with an intrathoracic chest drain in place.
Massive bilateral anterior as well as posterior chest walls surgical emphysema more evident at the right side.
Few enlarged prevascular, aortopulmonary, as well as retrocaval lymph nodes.
Few tiny mesenteric lymph nodes.