Lots to see and think about with this case.
- Great chest x-ray: mediastinal mass, which would should be able to work out which mediastinal compartment it lies in. Hilum overlay sign evident.
- The differential for an anterior mediastinal mass - the 4T's.
-
Chylothorax: indicating something is disrupting the thoracic duct.
- Role of CT is aiding a histological diagnosis through CT guided biopsy.
The appearances of the most fitting with a mediastinal lymphoma with pulmonary involvement, which was histologically confirmed.
A nice viva or long case for a fellowship exam, such as FRCR.