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Case of the Week 558


What is the most likely diagnosis?

  • 40 year-old with weakness



Frontal and lateral radiographs of chest

  1. Tuberculosis
  2. Dissecting Aneurysm
  3. Thymoma
  4. Substernal Thyroid
  5. Bronchogenic Carcinoma

Additional Images - Enhanced Axial CT of Chest

 

Additional Images

 


Enhanced Axial CT of Chest


Answer:

 

3. Thymoma

 

More (Click Discussion Tab)

 

 

Thymoma

General Considerations

  • Most common anterior mediastinal neoplasm
  • Mean age of presentation is 52, older than teratomas
  • Most are solid lymphoepithelial tumors of the thymus, some are cystic
  • About 1/3 are malignant
  • Rare in children — most common around 5th or 6th decade

MORE . . .

 


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This Week

40 year-old with weakness
 
 
Some of the fundamentals of interpreting chest images
 
The top diagnostic imaging diagnoses that all medical students should recognize according to the Alliance of Medical Student Educators in Radiology
 
Recognizing normal and  key abnormal intestinal gas patterns, free air and abdominal calcifications
 
Recognizing the parameters that define a good chest x-ray; avoiding common pitfalls
 
How to recognize the most common arthritides




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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.