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Mediastinal Fatty Mass (Potential Thymolipoma)

Imaging findings

A large, asymmetric fatty mass extending into the middle and posterior mediastinum, enveloping the SVC and azygos vein with minimal soft tissue components.

Key takeaways

Asymmetry makes simple mediastinal lipomatosis less likely; thymolipoma or low-grade liposarcoma are possibilities. Follow-up imaging is recommended to monitor for stability or metabolic changes.

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