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Chest X-ray showing mass in superior mediastinum.
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Chest X-ray was suggestive of mediastinal widening (Fig. 1).
CT showing anterior mediastinal mass.
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Contrast enhanced computed tomography was done which suggested mediastinal mass originating from thymus with size of 12 x 12 cm (Fig. 2).
Intraoperative picture showing thymoma being separated from left pleura.
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After sternotomy, the mass exposed was 12 x 13 cm in anterior mediastinum originating from thymus and encasing the left phrenic nerve, abutting aorta and pericardium (Fig. 3).