Clinical History
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22-year old male, no PMH.
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recent onset of cough, exertional dyspnea and fatigue.
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CXR: mediastinal mass, subsequently referred to the chest team.
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No B symptoms, no peripheral LN, infective screen negative.
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CT:
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mediastinal mass 14.3x10.3cm (axial) &13cm (CC)
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displacement of the heart and great vessels to the left.
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External compression of the SVC without complete obstruction
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R main bronchus: displaced posteriorly but not compressed