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Rash seen on upper chest and forehead.
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Physical examination revealed a diffuse macular non-blanching non-pruritic rash (Figures 1&2). 
Gottron's papules seen on the hands.
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Gottron's papules were also identified on his hands (Figure 2).
CT chest with contrast showing the anterior mediastinal mass.
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CT chest done one year back which showed right lung nodules and an anterior mediastinal mass. CT chest was repeated which showed stable right lung nodules and a lobulated thymic mass (Figure 3.) 