Thymoma x ray

Thymoma Microchapters
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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.

X Ray

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
• Widened mediastinum
• Posterior displacement of heart and/or great vessels

Images

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

Lateral CXR showing invasive thymoma with pleural metastasis.

AP CXR demonstrating thymoma as a soft tissue density projecting to the left of the mediastinum.

AP CXR showing invasive thymoma with pleural metastasis.

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

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