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[Skiagram]
[View large image] Clinical presentation:
Middle aged man, smoker, with weight loss and recent onset of cough.

The left lung is reduced in volume and its vessel-count is reduced. There is complex lobulated widening of the upper mediastinum with loss of the right para-tracheal stripe and a triangular density behind the heart on the left side. The basal artery and the hilar point have disappeared into this density and the descending aorta is not seen. The left hemidiaphragm is obscured. There is a soft tissue mass on the right side of the neck.

[carcinoma] [atelectasis]

[Differential]

cases that might resemble this pathology

Lobar Collapse
[View large image] bronchiectasis (case report) [View large image] Misplaced ET tube (case report) [View large image] Post-operative (case report)

Lobulated Mediastinum
[View large image] (Hodgkin's) Lymphoma (case report)
[View large image] [View large image]
 Tuberculosis with collapse LUL. (case report)
[View large image] Metastasis, (case report) [View large image] Sarcoidosis (case report)
[View large image] Chest trauma mediastinal haematoma (case report) [View large image] Mediastinal Hamartoma Dermoid cyst (case report)
[View large image] Thymoma (case report) [View large image] Extramedullary haematopoiesis (case report)
[View large image] Chylous cyst (case report) [View large image] Neurilemmoma (case report)
[View large image] Carcinoma Oesophagus (case report) [View large image] Aortic dissection (case report)
Abnormal cardiovascular structures may give appearance of mediastinal masses
[View large image] [View large image]
including hemi-azygous system in abdominal malignancies and cirrhosis. Anomalous pulmonary venous drainage (case report) [View large image] Azygous lobe illusion (case report)
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[London South Bank U.]

IDM April 2006