Malignant thymoma

Case contributed by Valerio Giacalone
Diagnosis almost certain

Presentation

The patient underwent a chest X-ray examination for cough and intercostal pain.

Patient Data

Age: 50 years
Gender: Male

Chest x-ray

x-ray

On X-ray, a left mediastinal widening is appreciated.
The lung parenchyma does not show any significant changes.

Supplementation with CT examination is recommended.

Chest CT

ct

On CT examination without contrast medium, a hypodense oval nodule in the left paramedian mediastinum is appreciated, with some calcification in the context and thin, yeast-like patches.

Post operative chest x-ray

x-ray

Chest X-ray examination performed after surgery.

Case Discussion

On chest X-ray for cough and chest pain, an occasional finding was left paramedian mediastinal widening.

A non-contrast CT scan revealed a hypodense nodularity with contextual calcifications in the left paramedian mediastinal area. 

The patient underwent a TC examination with contrast at another clinic.
He underwent removal of the nodule with a histological finding of malignant thymoma.
He underwent a follow-up X-ray 2 months after surgery.

 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.