CTICasesThymic Carcinoma with Pleural Recurrence
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Imaging findings
A mediastinal lesion was incidentally discovered on a breast MRI, subsequently confirmed as a thymic carcinoma on CT. One year later, follow-up breast MRI showed hyperintense lesions, which on CT corresponded to typical pleural surface recurrences of the thymic tumor, including an anterior chest lesion and additional lesions on the right side.
Key takeaways
Thymic carcinoma can be an incidental finding on imaging performed for other reasons (e.g., breast MRI). It commonly presents with pleural recurrence. The patient in this case was 52 years old, which is younger than the typical elderly demographic usually associated with thymic carcinoma.
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