Answer of January 1999

Clinical History:

F/63. Incidental finding on CXR. CT performed.

Figure 1 CXR (PA)
Figure 2 CXR (lat.)
Figure 3 Plain CT thorax

What is your diagnosis?

                        Figure 1                                                                        Figure 2

                         Figure 3                                                                        Figure 4

Diagnosis:

CASTLEMAN DISEASE

Discussion:

Figure 1 & 2 CXR (PA & lat.) showed R superior mediastinal mass with calcification.

Figure 3 CT showed calcified R superior mediastinal mass behind SVC.

Figure 4 Mediastinoscopy & biopsy with histology confirming Castleman disease, hyaline vascular type.