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Anterior mediastinal mass due to thoracic splenosis
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  1. Jacqueline Soraru1,
  2. Giuseppe Cardaci2
  1. 1Sir Charles Gairdner Hospital, Perth, Western Australia, Australia
  2. 2Department of General Medicine, Hollywood Private Hospital, Perth, Western Australia, Australia
  1. Correspondence to Dr Jacqueline Soraru, jackie.soraru{at}gmail.com

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An 81-year-old man was investigated for weight loss, fever, deranged liver enzymes and elevated inflammatory markers. CT imaging revealed a lobulated well-defined anterior mediastinal mass (1.7×2.8×3.2 cm) and a further small (1.43×0.59×1.9 cm) subpleural nodule in the left posterior thorax. The possibility of mediastinal neoplasm was raised, with biopsy of the anterior mediastinal mass contemplated.

There was a history of blunt abdominal trauma 30 years prior, requiring surgical repair of a ruptured left hemidiaphragm, splenectomy and left nephrectomy. Considering this, a heat denatured red …

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