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Right sided anterior mediastinal mass
Dear Doctor,
I am 62 years old, k/c/o-Hypertension. My son took me for a regular health check-up during which opacity was seen in right lower zone in chest x-ray, and a CT thorax with contrast was performed. which showed a well-defined lobulated mass lesion(6.6x5.3x6.5cm) in the anterior mediastinum on right side involving the prevascular space.
I would like to share with you, my CT thorax images for your second opinion to rule out if it is a lymph node mass or Thymoma or thymic carcinoma or any other possibilities, however I am asymptomatic.
Kindly give me your opinion and treatment options.
Please VIEW CT scan Images online at:
http://www.dicomlibrary.com/?study=1.2.826.0.1.3680043.8.1055.1.20xxxxxxx15520944.780672086.1166234
Download CT images at:
http://www.dicomlibrary.com/?requestType=WADO&studyUID=1.2.826.0.1.3680043.8.1055.1.20xxxxxxx15520944.780672086.1166234&manage=9f43fb9bfb1e46c51fca70081f179a25
Thanks.
Answers (2)
Dear sir,
Any anterior mediastinal mass needs a thorough evaluation. From the description you have provided it could be any one of the things you have mentioned: lymph nodes, thymoma, GCT, etc.
Next Steps
I would suggest you to consider a few blood tests: AFP, beta HCG, LDH. Also get a image guided FNAC or biopsy. This would narrow down the diagnosis and then a treatment can be planned.
Health Tips
if it is a thymoma or thymic carcinoma, a thoracoscopic surgery can be planned, which would be the most painless option for the patient.
Answered
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