There is a large mass in this patient’s anterior mediastinum. The differential diagnosis for such a mass includes:
- lung cancer
- aortic aneurysm or other vascular abnormality
- teratoma, thyroid, parathyroid or thymic neoplasm
- thymic or pericardial cyst, epicardial fat pad
- foramen or Morgani hernia
In this case, the mass is accompanied by significant hilar and paratracheal lymphadenopathy. The patient is young and complains of fevers and night sweats. He was diagnosed with Hodgkin’s Lymphoma.