Presentation
Myasthenia.
Patient Data
Age: 50 years
Gender: Male
From the case:
Thymic carcinoma
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Well-circumscribed anterior mediastinal mass with moderate homogeneous enhancement in contact with the ascending aorta and right auricle. No mediastinal or hilar lymphadenopathy. No pleural or pericardial effusion.
Nodular thickening of the right diaphragmatic pleura suggestive of metastasis.
Both lungs are clear.
Small fat-containing umbilical hernia.
From the case:
Thymic carcinoma
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CT-guided biopsy showing the needle within the mediastinal mass.
Case Discussion
The clinical presentation and the CT features are suggestive of thymoma (biopsy proven as thymic carcinoma) with probably right diaphragmatic pleural metastasis.
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