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Chest Imaging and Pathology for Clinicians |

Mediastinal Mass in a 25-Year-Old ManMediastinal Mass

Abhijeet Waghray, MD; Lakpa Sherpa, MD; Gandhari Carpio, MD; Timothy J. Barreiro, DO, FCCP
Author and Funding Information

From the Department of Medicine (Dr Waghray), Case Western Reserve University MetroHealth Medical Center, Cleveland; St. Elizabeth Health Center (Drs Sherpa and Carpio), Youngstown; Ohio University Heritage College of Medicine (Drs Sherpa and Carpio), Athens; and Northeast Ohio Medical University (Dr Barreiro), Rootstown, OH.

CORRESPONDENCE TO: Timothy J. Barreiro, DO, FCCP, 1044 Belmont Ave, Youngstown, OH 44505; e-mail: tbarreiro@neomed.edu


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2014;146(2):e47-e51. doi:10.1378/chest.13-1444
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A 25-year-old black man presented with left-sided chest pain and cough for 3 days. His pain was pressure-like and nonradiating and was aggravated with movement and relieved when the patient lay at a 45° angle. The patient denied fevers, chills, night sweats, and swelling but reported gaining 4 to 6 kg (10 to 15 lbs) in the past few months. His cough had started 2 weeks prior with yellow mucus production but he denied facial swelling or tenderness. He had no chronic medical conditions and was not taking medications. He had no known exposure to chemicals, fumes, or dust and no history of tobacco or alcohol abuse.

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