CXR Case 023

26 year old male presents with night sweats and weight loss

click images to enlarge


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


CLINICAL CORRELATION

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.


CLINICAL PEARLS

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


TOP 150 CXR SERIES



Prof Fraser Brims Curtin Medical School, acute and respiratory medicine specialist, immediate care in sport doc, ex-Royal Navy, academic| Top 100 CXR | Google Scholar |

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