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Virtual Pediatric Hospital: Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease: Case 39 Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease

Case 39

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

Chief Complaint:
Ten year old female with fatigue and dyspnea on exertion

Clinical History:
The patient was a 10 year old female who had a 2 week history of fatigue and progressive dyspnea on exertion.

Clinical Physical Exam:

Clinical Labs:

Clinical Differential Diagnosis:

Imaging Findings:
A chest film showed an anterior mediastinal mass and a large right pleural effusion. A chest CT exam showed the mass to be solid.

icon gificon gifImages 1 and 2

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Imaging Differential Diagnosis:
Lymphoma, leukemia, teratoma

Operative Findings:
A percutaneous biopsy was performed.

Pathological Findings:
Pathological examination of the biopsy specimen showed findings typical of Non-Hodgkin Lymphoma, lymphoblastic type.

Final Diagnosis:
Lymphoma, Non-Hodgkin, Anterior Mediastinal

Follow-up and Prognosis:
The patient had an uncomplicated post-biopsy course.

Similar Cases:
Case 33, Case 34, Case 37, Case 38, Case 40, Case 41, Case 60


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