Thymic Carcinoma
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A 57-year-old male singer with no significant past medical history, who presented to the emergency room with pleuritic chest pain with extreme deep breathing, first noticed while performing on stage. Physical examination was unremarkable. Patient vitals were within normal limits with a pulse oximetry of 93 percent on room air. Labs were as follows: WBC 39.1, H/H 9.9/30.8, Platelets 395. All other lab values including electrolytes were within normal limits. A CTA of the chest demonstrated a large anterior mediastinal mass with internal heterogeneity suggestive of necrosis. The left anterior descending artery was seen to traverse the mass without resultant arterial narrowing. The patient underwent resection and radiation therapy and follow-up CT imaging three months later was negative for recurrence. Follow-up imaging 9 months postresection was obtained. Follow-up posteroanterior chest radiograph showed an abnormal right-sided mediastinal contour suggestive of a mediastinal mass

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