26 year old male presents with night sweats and weight loss
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Describe and interpret this PA and Lateral CXR
CXR PA and Lateral INTERPRETATION
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.
• Thyroid – ectopic thyroid mass
• Thoracic aorta – dilatation or aneurysm of ascending aorta
• Terrible lymphoma
• Teratoma / germ cell tumour