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A D V E R T I S E M E N T
A D V E R T I S E M E N T
A 23-year-old man presented with chest pressure and swelling of the left side of the neck. He reported fever, chills, night sweats and a 15-lb weight loss over the preceding three months. PA chest X-ray showed a widened mediastinum.
A D V E R T I S E M E N T
Lateral chest X-ray showed an anterior mediastinal mass. The preliminary diagnosis was lymphoma with a differential of thymoma, sub-sternal thyroid and germ cell tumor. Physical exam including testicular exam was unremarkable except for moderate diffuse swelling at the base of the neck on the left.
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A D V E R T I S E M E N T
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CT scan showed an 8.2 x 5.3 cm anterior mediastinal mass with tumor or clot occluding the superior vena cava (SVC) at the level of the pulmonary artery with 50% compression of the right pulmonary artery and mild narrowing of the right main-stem bronchus. The left brachiocephalic vein was occluded and there was a moderate pleural effusion.
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This page was last modified on 3/3/2006.
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