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CT-Scan showed enhancing solid lesion in the mediastinal anterior-posterior.
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Chest X-ray and thorax CT-Scan of the patient showed enhancing solid lesions (size of 12.2 x 7.5 x 12.8 cm) in the anterior mediastinum and bilateral pleural effusions with adjacent compressive atelectasis (Fig. 1).
An open thoracotomy biopsy showed tumor tissue adhering to the left lung and pericardium.
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Open biopsy analysis showed malignant round cells suspected of non-Hodgkin lymphoma (Fig. 2).