Answer of April 2002

Clinical History:

M/74 Upper back pain for a few days.

Figure 1 Chest Radiograph
Figure 2 CT thorax (noncontrast)
Figure 3 CT Thorax with contrast

                                Figure 1

                                Figure 2

                                Figure 3

Diagnosis:

Thymic carcinoid with superior vena cava obstruction and right sided pleural effusion.

Discussion:

Figure 1 Chest Radiograph
Widening of mediastinum with well defined aortic knuckle - anterior mediastinal mass.

Figure 2 CT thorax (noncontrast)
Huge non-enhancing soft tissue density mass lesion in anterior mediastinum with posterior displacement of the aortic arch and superior vena cava obstruction. Right sided pleural effusion.

Figure 3 CT Thorax with contrast
Huge non-enhancing soft tissue density mass lesion in anterior mediastinum with posterior displacement of the aortic arch and superior vena cava obstruction. Right sided pleural effusion.