A good case for long case or viva of a fellowship examination.
Start with the plain film to assess:
- the candidate's approach to a common film
- their understanding of how to determine mediastinal compartment the pathology lies in
- knowledge to give a reasonable differential diagnosis
- to 'earn' the CT to give a more confident definitive diagnosis
- question on the best method of ascertaining a tissue diagnosis
Additional discussion of US-guided neck node biopsy vs surgical excision vs CT-guided mediastinal mass biopsy.