WIDI - CA0638-Anterior Mediastinal Mass

Anterior Mediastinal Mass

Claim CME Credit

0.5 CME Credit available on completion

POINT OF CARE INFORMATION

This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.

Learning Objectives

As a result of participation in this activity, participants should be able to:

Provide improved patient care.
Greater knowledge of the imaging characteristics of the patient's disease.
Understand a better approach to interpretation of studies.

Faculty Disclosure

Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.

CME Advisory Committee Disclosure:

Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.

Continuing Medical Education Credit

Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CA0638-Anterior Mediastinal Mass

History

34 yo female with shortness of breath

Exam

2 view chest

Prior Study

none

Findings

Technique

The exam is of diagnostic quality.

Support devices

There are no lines, tubes, or other support devices.

Cardiomediastinum

There is a well-circumscribed rounded mass with a calcified rim in the retrosternal space on the lateral view. There is no abnormal tracheal deviation or narrowing on the frontal or lateral view. The heart is normal. The right paratracheal stripe is not thickened or enlarged.

Vasculature and Hila

The retrosternal mass is antero-lateral to the aorta and there is no focal contour abnormality of the aorta. The central pulmonary vessels or hila are not enlarged. The rounded mass overlies the aorto-pulmonary window and there is no adenopathy at the AP window.

Lungs

There is no focal, multifocal, or diffuse airspace disease, mass, opacity, or nodularity. The rounded mass overlying the upper medial left lung is likely in the anterior mediastinum.

Pleura

There is no focal or diffuse abnormality of the pleura or chest wall.

Bones, soft tissues, upper abdomen

The bones, soft tissues, and upper abdomen are normal.

Impression

There is a well-circumscribed rounded mass with a calcified rim in the anterior mediastinum. This is likely a thymoma, thymic cyst, or teratoma. Adenopathy is much less likely. CT is recommended for further evaluation. The exam is otherwise normal.