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Chest Imaging and Pathology for Clinicians |

Patient With Slow-Growing Mediastinal Mass Presents With Chest Pain and Dyspnea

Abhishek Biswas, MD; Daniel Urbine, MD; Ashish Prasad, MD; Eric S. Papierniak, DO; Michelle Weber, MD; Paras Malhotra, MD; Peruvemba S. Sriram, MD
Author and Funding Information

CORRESPONDENCE TO: Abhishek Biswas, MD, University of Florida, Department of Pulmonary, Critical Care and Sleep Medicine, 1600 SW Archer Ave, Gainesville, FL 32610


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;149(1):e17-e23. doi:10.1016/j.chest.2015.10.043
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A 52-year-old white woman presented with severe pain over the right upper abdomen and nonpleuritic, right-sided, lower chest-wall pain. Her pain had progressively gotten more frequent and severe over the last 5 months. It was also associated with a nonexertional, pressure-like sensation in the central chest. The patient denied any shortness of breath, fevers, cough, or any sputum production. She was taking levothyroxine for hypothyroidism and was a 30-pack-year current smoker; there was no history of drug abuse or occupational exposure. Previous chest radiographs dating back to 5 years consistently showed an elevated right-sided hemidiaphragm without any infiltrates or effusions; cardiomediastinal structures were unremarkable. She had not had a previous workup for these abnormal findings.

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