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IMAGE QUIZ
Year : 2015  |  Volume : 3  |  Issue : 2  |  Page : 185

Intrathoracic Mass


Department of Cardiothoracic Surgery, College of Medicine, University of Dammam and King Fahd Hospital of the University, Al-Khobar, Kingdom of Saudi Arabia

Date of Web Publication6-May-2015

Correspondence Address:
Yasser Elghoneimy
P.O. Box 40233 Alkhobar 31952
Kingdom of Saudi Arabia
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DOI: 10.4103/1658-631X.156446

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How to cite this article:
Elghoneimy Y. Intrathoracic Mass. Saudi J Med Med Sci 2015;3:185

How to cite this URL:
Elghoneimy Y. Intrathoracic Mass. Saudi J Med Med Sci [serial online] 2015 [cited 2022 Jan 28];3:185. Available from: https://www.sjmms.net/text.asp?2015/3/2/185/156446

A 48-year-old female patient who is not known to have any medical illness presented with complaints of chronic cough and dyspnea, progressive in nature over the last 6 months. The cough is dry in nature with no hemoptysis and was not associated with chest pain. There was no loss of appetite or weight.

Chest X-ray [Figure 1] showed a well-circumscribed homogenous opacity on the upper right side, measuring 10 cm × 12 cm in size without shifting of the trachea to the other side.
Figure 1: Plain Chest X-ray

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The computed tomography scan of the chest [Figure 2] confirmed the presence of soft tissue mass situated in the right upper lung zone. The mass is rounded with some areas of degeneration; it is not invading the surrounding structures.
Figure 2: Contrast-enhanced computed tomography scan of the chest

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Patient was subjected to surgical resection of the lesion. The histopathology is shown [Figure 3].
Figure 3: Histopathology of the lesion

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  Question Top


What is the most probable diagnosis?



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  References Top

1.
Katlic MR, Grillo HC, Wang CA. Substernal goiter. Analysis of 80 patients from Massachusetts General Hospital. Am J Surg 1985;149:283-7.  Back to cited text no. 1
    
2.
Lindskog GE, Goldberg IS. Differential diagnosis, pathology and treatment of substernal goiter. JAMA 1957;163:327.  Back to cited text no. 2
    
3.
White ML, Doherty GM, Gauger PG. Evidence-based surgical management of substernal goiter. World J Surg 2008;32: 1285-300.  Back to cited text no. 3
    
4.
Allo MD, Thompson NW. Rationale for the operative management of substernal goiters. Surgery 1983;94:969-77.  Back to cited text no. 4
    


    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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