Virtual Pediatric Hospital(tm) : A digital library of pediatric information

Home | About | FAQ | Reviews | Search

Virtual Pediatric Hospital: Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease: Case 40 Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease

Case 40

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

Chief Complaint:
Twelve year old female with a chest mass

Clinical History:
The patient was a 12 year old female with a slowly enlarging and tender chest mass for 3 months. The patient also reported decreased appetite, fatigue, malaise, and a 30 pound weight loss.

Clinical Physical Exam:
Palpable, tender chest wall mass just to the left of the sternum.

Clinical Labs:

Clinical Differential Diagnosis:

Imaging Findings:
A chest film showed a large anterior mediastinal mass. A chest CT exam better defined the mass to be extensive and solid and eroding into the sternum.

icon gificon gifImages 1 and 2

icon gifImage 3

Imaging Differential Diagnosis:
Lymphoma, leukemia

Operative Findings:
The sternum was biopsied.

Pathological Findings:
Pathological examination of the biopsy specimen revealed findings characteristic for Hodgkin Lymphoma.

Final Diagnosis:
Lymphoma, Hodgkin, Anterior Mediastinal, Sternal Involvement

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

Similar Cases:
Case 33, Case 34, Case 37, Case 38, Case 39, Case 41, Case 60


Title Page

Additional pediatric resources: | Facebook iconTwitter iconRSS icon |

Follow us on Twitter @pedseducationTwitter icon and @pedsimagingTwitter icon and Facebook @pedsimagingFacebook icon and Instagram @pedsimagingInstagram icon

About Us | FAQ | Reviews | Contact Us | Search

Virtual Pediatric Hospital is curated by Donna M. D'Alessandro, M.D. and by Michael P. D'Alessandro, M.D.

Please send us comments by filling out our Comment Form.

All contents copyright © 1992-2016 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.

"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.

Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.

Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.

The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.