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Virtual Pediatric Hospital: Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease: Case 6 Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease

Case 6

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed

Chief Complaint:
Five year old male with cough and fever.

Clinical History:
The patient was a 5 year old male with fever, cough, and respiratory distress. The patient was felt to have a viral pneumonia. His respiratory distress eventually required intubation for 5 days. Before intubation he had a bronchoscopy which demonstrated subglottic edema.

Clinical Physical Exam:
The patient had a barky cough.

Clinical Labs:

Clinical Differential Diagnosis:
Viral pneumonia

Imaging Findings:
A chest film was obtained on the day of admission and it demonstrated an anterior mediastinal mass, which was imaged further on a chest CT exam performed 2 days later.

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Imaging Differential Diagnosis:
Thymus, prominent

Operative Findings:

Pathological Findings:

Final Diagnosis:
Thymus, Prominent

Follow-up and Prognosis:
The patient was discharged and did well.

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