Weekly Chest CasesArchive of Old Cases

Case No : 894 Date 2014-12-15

  • Courtesy of Yookyung Kim, Sung Shine Shim / Ewha Womans University Mokdong Hospital
  • Age/Sex 33 / F
  • Chief ComplaintAbnormality on chest radiograph
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4

Diagnosis With Brief Discussion

Diagnosis
Primary thymic lymphoma (Diffuse Large B cell)
Radiologic Findings
Chest radiograph shows a smooth-margined mass attached to the mediastinum showing obtuse angle with the mediastinum and obliteration of the border of the superior vena cava, suggestive of anterior mediastinal mass.
Contrast-enhanced chest CT scans show ill-defined homogeneously enhancing mass in the anterior mediastinum. Also noted is the focal narrowing of the superior vena cava due to direct invasion by the mass. There was no enlarged lymph node in the mediastinum.
Brief Review
Please refer to
Case 488,
References
Keywords
Mediastinum, Malignant tumor, Lymphoma,

No. of Applicants : 71

▶ Correct Answer : 22/71,  31.0%
  • - Otsu Red Cross Hospital , Japan Hirotsugu Nakai
  • - university of montreal , Canada Andrei Gorgos I
  • - Kyoto University , Japan Akihiko Sakata
  • - Pamukkale University, Faculty of Medicine, Dept. of Radiology , Turkey Furkan Ufuk
  • - i.r.c.c.s.istituto scientifico romagnolo per lo studio e cura dei tumori , Italy Alice Rossi
  • - Seoul National University Hospital , Korea (South) Sang Min Lee
  • - Diskapi Yildirim Beyazit Hospital, Ankara , Turkey Meric Tuzun
  • - The University of Tokyo Hospital , Japan Takeyuki Watadani
  • - University of British Columbia , Canada Amr Ajlan
  • - The University of Tokyo Hospital , Japan Toshihiro Furuta
  • - University of Tsukuba Hospital , Japan Sodai Hoshiai
  • - Shiga University of Medical Science , Japan Akitoshi Inoue
  • - SALMAN IBN ABDULAZIZ UNIVERSITY HOSPITAL , Saudi Arabia Elbagir Nasser
  • - Yokohama-asahi-chuo-general hospital , Japan Kyoko Nagai
  • - VHS medical center , Korea (South) Seong hee Jeon
  • - National Hospital Organization Okinawa Hospital , Japan Yasuji Oshiro
  • - CHONNAM NATIONAL UNIVERSITY HOSPITAL , Korea (South) seungwon oh
  • - Kyung Hee University Hospital at Gangdong , Korea (South) Seong Jong Yun
  • - nizam , India amit patel
  • - Gifu Central Hospital , Japan Haruo Watanabe
  • - Ishikawa Matto Central Hospital , Japan Manabu Akimoto
  • - Medicheck health care , Korea (South) Chae Lim
▶ Correct Answer as Differential Diagnosis : 36/71,  50.7%
  • - The University of Tokyo Hospital , Japan Akifumi Hagiwara
  • - Seoul National University Hospital , Korea (South) Hyoung-In Choi
  • - ssims&rc , India akhila d
  • - NIZAM , India PHANI MUTNURU
  • - the First Affiliated Hospital of NanJing Medical University , China Aiping Chen
  • - Hopital Bichat , France, Metropolitan Pauline Pradere
  • - �stanbul , Turkey Ayhan Yilmaz
  • - Resident of radiology, Kyungpook national university hospital , Korea (South) Min a Lee
  • - Intermed Hospital , Mongolia Khulan Khurelsukh
  • - Niigata City General Hospital , Japan Takao Kiguchi
  • - IRSA La Rochelle , France Denis Chabassiere
  • - medical university of isfahan , Iran pouya akbari
  • - McGill University Health Center , Canada Alexandre Semionov
  • - Tashkent Medical Academy , Uzbekistan Rustam Fayzullaev
  • - Chonnam National University Hospital , Korea (South) So yeon Ki
  • - SNUH , Korea (South) Eui Jin Hwang
  • - chp st martin , France Mariotte benoit
  • - Oita University, Faculty of Medicine , Japan Fumito Okada
  • - 異⑸ , Korea (South) Junghwan Kim
  • - Kanto Rosai Hospital , Japan tomoko sako
  • - Asan Medical Center, Ulsan University , Korea (South) Mi Young Kim
  • - Nagasaki University Hospital, Department of Pathology , Japan TOMONORI TANAKA
  • - Showa university , Japan Kota Watanabe
  • - Kizawa Memorial Hospital , Japan Yo Kaneko
  • - Seirei Hamamatsu General Hospital , Japan Kenichi Mizuki
  • - Onomichi municipal hospital , Japan Hirofumi Mifune
  • - Onomichi Municipal Hospital , Japan Yoshihisa Masaoka
  • - NASA SCANS , India RAKESH BHATIA
  • - CLINIQUE STE CLOTILDE , Reunion patrick MASCAREL
  • - National Center hospital of Neurology and Psychiatry , Japan Kaoru Sumida
  • - CNUH , Korea (South) Kim Soo Hyun
  • - jaslok hospital & research centre mumbai , India JAINENDRA JAIN
  • - CHU POITIERS , France SZTARK Guillaume
  • - Kobe City Medical Center General Hospital , Japan Yasuhisa Kurata
  • - Freelance resident in Reunion Island , Reunion Fabien HO
  • - ZIGONG TCM HOSPITAL OF CHINA , China Cao Cunyou
▶ Semi-Correct Answer : 2/71,  2.8%
  • - Ibaraki-gazou-shindan , Japan Shoichi Katoh
  • - CHU Poitiers , France CHAN paul
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