CTICasesDiffuse Large B-cell Lymphoma with Myocardial and Pulmonary Involvement
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Imaging findings
Intermediate signal intensity mass in the anterior mediastinum involving the left ventricle and encasing the left coronary artery. Para-tracheal lymphadenopathy and several somewhat ill-defined nodular foci of consolidation in the upper lobes. Uniform enhancing soft tissue mass. Myocardial involvement without ischemia. Shrunk after treatment.
Key takeaways
Lymphoma, especially Diffuse Large B-cell Lymphoma, can present as a large anterior mediastinal mass with direct myocardial invasion and pulmonary involvement. The management of such conditions is altered in the context of pregnancy, highlighting diagnostic challenges and multidisciplinary decision-making.
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