CXR Case 023

CXR AP Interpretation:
PA chest x-ray demonstrates large superior soft tissue density.
*The hilar vessels are visualized through the mass
The rest of the lungs are unremarkable
* There is a large gastric bubble*

Lateral CXR Interpretation:
Lateral chest x-ray demonstrates anterior superior mediastinal mass

The presence of night sweats and weight loss raise the likelihood of lymphoma.

Examination for any palpable lymph nodes and CT neck / chest / abdomen / pelvis is warranted.

The ‘5 Terrible T’s’ refer to the common causes for anterior mediastinal masses.

• Thymoma
• Thyroid – ectopic thyroid mass
• Thoracic aorta – dilatation or aneurysm of ascending aorta
• Terrible lymphoma
• Teratoma / germ cell tumour