Thymoma chest x ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [3] Associate Editor(s)-in-Chief: Amr Marawan, M.D. [4]

Overview

On chest x-ray, thymoma is characterized by oval to rounded, well demarcated, asymmetric, homogeneous mass of soft tissue density on one side of the midline.

Chest X Ray Key Findings in Thymoma

Key chest x-ray findings in thymoma are:

• Oval to rounded, well demarcated, asymmetric, homogeneous mass of soft tissue density and usually on one side of the midline.
• Wide mediastinum.
• Displacement of heart and/or great vessels posteriorly.

AP CXR, 50 year old male, demonstrating a large right sided mediastinal mass, with patchy areas of calcification. Histologically proven to be a thymoma.

Lateral view CXR, 50 year old male, demonstrating a large right sided mediastinal mass, with patchy areas of calcification. Histologically proven to be a thymoma.

Lateral CXR, Invasive thymoma with pleural metastasis.

AP CXR, demonstrates a soft tissue density projecting to the left of the mediastinum, thymoma.

AP CXR, Invasive thymoma with pleural metastasis.

AP CXR, Partially delineated mediastinal mass (anterior mediastinum) with regular borders, bulging the left upper mediastinal contour.

Lateral CXR, Partially delineated mediastinal mass (anterior mediastinum) with regular borders, bulging the left upper mediastinal contour.