56-year-old female with chest pain and shortness of breath. Evaluate for mediastinal mass. CHEST:LUNGS AND PLEURA: No significant abnormality in the lungs. No pleural effusion or focal pulmonary opacity.MEDIASTINUM AND HILA: There is a large anterior mediastinal mass with predominantly low T2 and T1 signal with scattered linear areas of T2 hyperintensity. This mass demonstrates mild diffuse enhancement on delayed sequences. There is no dropout of signal on in and out of phase sequences to indicate microscopic fat. Mediastinal mass measures 6.0 x 3.3 cm in axial dimensions (series 701, image 19). This mass measures approximately 8.7 cm in craniocaudal dimension (series 801, image 12). Findings related to this mass are nonspecific for benign or malignant features.CHEST WALL: No axillary lymphadenopathy. No significant abnormality.UPPER ABDOMEN: Partially visualized liver demonstrates small hepatic cysts. No significant abnormality.
Large anterior mediastinal mass, concerning for thymic tumor, as noted on recent chest CT.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.