Thymoma with Pericardial Involvement
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Imaging findings
A chest radiograph shows a mediastinal lesion. CT images reveal a mediastinal mass consistent with a thymoma in its typical location, containing dystrophic calcification and appearing slightly heterogeneous in attenuation. Initial assessment suggested potential pleural spread, but surgical pathology confirmed a minimally invasive thymoma with multifocal microscopic tumor deposits along the anterior and posterior aspects, with the pericardium uninvolved.
Key takeaways
Thymomas are anterior mediastinal masses that can present with dystrophic calcification and heterogeneous attenuation. Accurate assessment for local invasion, including into the pleura or pericardium, is crucial for staging, though microscopic involvement can be subtle and require pathological correlation.
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