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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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