154 Thymic Carcinoid

CASE 154

image Clinical Presentation

45-year-old man with Cushing syndrome

image Radiologic Findings

PA (Fig. 154.1) and lateral (Fig. 154.2) chest radiographs demonstrate a large, well-defined anterior mediastinal mass that extends predominantly to the left. Note the significant mass effect on the anterior trachea (Fig. 154.2). Contrast-enhanced chest CT (mediastinal window) (Figs. 154.3, 154.4) demonstrates a large, lobular, slightly heterogeneous anterior mediastinal mass with marked mass effect on the great vessels and the airways.

image Diagnosis

Thymic Carcinoid

image Differential Diagnosis

• Thymoma

• Thymic Carcinoma

• Lymphoma

• Seminoma


Fig. 154.1


Fig. 154.2

Jan 14, 2016 | Posted by in RESPIRATORY IMAGING | Comments Off on 154 Thymic Carcinoid

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