PMC5390662_01
The chest X-ray showed a big mass located in anterior mediastinum.
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In the chest X-ray, a large left paracardiac mass was observed, which in the lateral projection was located in the anterior mediastinum (Fig. 1).
The chest CT scan revealed a 10 x 11 cm mass located in the anterior mediastinum, to the left of the heart. The tumor had two components: a bigger part with an intense peripheral contrast uptake and necrotic center, and a smaller part with presence of multiple calcifications.
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The lesion had an intimate contact with the adjacent pericardium with effacement of the fat planes (Fig. 2).
The PET-CT revealed that the tumor had a heterogeneous metabolic behavior, with a SUV max of 4.83 g/mL.
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The remaining structures showed no increase in glucose metabolism (Fig. 3).
Chest X-ray performed two months after surgery.
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The chest X-ray two months before surgery can be observed in Fig. 4.