Mediastinal Mass in a 25-Year-Old Man

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Mediastinal Mass in a 25-Year-Old Man Abhijeet Waghray, MD, Lakpa Sherpa, MD, Gandhari Carpio, MD, Timothy J. Barreiro, DO, FCCP  CHEST  Volume 146, Issue 2, Pages e47-e51 (August 2014) DOI: 10.1378/chest.13-1444 Copyright © 2014 The American College of Chest Physicians Terms and Conditions

Figure 1 A, Left mediastinal mass on chest radiograph (posteroanterior view). B, CT scan measuring 10 × 7 × 10.7 cm with mild heterogeneous appearance and compression of the right ventricular outflow tract and proximal main pulmonary artery, with encasement of the left upper-lobe bronchus. CHEST 2014 146, e47-e51DOI: (10.1378/chest.13-1444) Copyright © 2014 The American College of Chest Physicians Terms and Conditions

Figure 2 Tissue pathology. A, Well-circumscribed carcinoid tumor with area of necrosis (left) on low power (magnification × 40). B, Well-circumscribed carcinoid tumor on high power with mitosis (arrows) (magnification × 100). C, Carcinoid tumor with uniform cellular pattern with round nuclei, even chromatin, and trabecula (magnification × 400). CHEST 2014 146, e47-e51DOI: (10.1378/chest.13-1444) Copyright © 2014 The American College of Chest Physicians Terms and Conditions