PMC5183748_01
Coronal section from the preoperative magnetic resonance images showing a superior vena cava mass, presumed to be lymph nodes abutting the vein.
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fig1
A presumed cluster of nodes abutted the SVC (Figures 1 and 2).
Axial section from the preoperative magnetic resonance images showing the same mass.
CRIS2016-4238575.002.jpg
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fig2
A presumed cluster of nodes abutted the SVC (Figures 1 and 2).
Intraoperative photograph showing an invasive mass obstructing the superior vena cava at the confluence of the right internal jugular and right innominate vein. Patient's head is to the right, and patient's right is at the top of the image.
CRIS2016-4238575.003.jpg
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fig3
A full sternotomy was perfor med, and the mass was dissected inferiorly as it appeared to be invading the confluence of the right IJ and right innominate veins (Figure 3).