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Diagnostic Imaging Pathways - Suspected Mediastinal Mass

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1a Click to view full size image

Thymoma

Image 1a and 1b (Plain Radiographs, PA and Lateral): A large circumscribed mass is seen arising from the mediastinum and projecting over the right hilum. The lateral confirms its location in the anterior mediastinum (arrow). Histological assessment revealed a thymoma.

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2 Click to view full size image

Retrosternal Goitre

Image 2 (Plain Radiograph): There is a large circumscribed opacity projected over the superior mediastinum and over the right upper lung zone (arrow) displacing the trachea to the left (arrowhead). The features suggest a large retrosternal goitre.

3a Click to view full size image

Retrosternal Goitre

Image 3a and 3b (Computed Tomography): The right lobe of the thyroid is considerably enlarged with retrosternal extension and deviation of the trachea to the left (arrows). There are a few mediastinal nodes which measure around 1cm in the short axis.

3b Click to view full size image
4a Click to view full size image Multinodular (Colloid) Goitre

Image 4a: Post-portem specimen showing bilaterally enlarged thyroid lobes with coarse nodularity externally in keeping with a multinodular goitre.

4b Click to view full size image Image 4b (H&E, x2.5): Histological section of a multinodular goitre showing the usual features of variously sized, colloid-containing follicles lined by uniform epithelial cells, patchy areas of haemorrhage and fibrosis.

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