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
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
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 | ICIS Course ANZ