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Virtual Pediatric Hospital: Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease: Case 60 Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease

Case 60

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

Chief Complaint:
Thirteen year old male with an incidental chest mass

Clinical History:
The patient was a 13 year old male with a huge mediastinal mass incidentally noted on an outside chest film.

Clinical Physical Exam:

Clinical Labs:

Clinical Differential Diagnosis:

Imaging Findings:
Chest films showed a large anterior mediastinal mass. A chest CT exam better characterized the lesion.

icon gificon gifImages 1 and 2

icon gificon gifImages 3 and 4

Imaging Differential Diagnosis:

Operative Findings:
A percutaneous biopsy was performed.

Pathological Findings:
Pathologic examination of the surgical specimen revealed findings characteristic for lymphoblastic lymphoma.

Final Diagnosis:
Lymphoma, Lymphoblastic, 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 39, Case 40, Case 41


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