Endgames Spot Diagnosis

A patient with head and neck swelling

BMJ 2016; 355 doi: https://doi.org/10.1136/bmj.i5733 (Published 16 November 2016) Cite this as: BMJ 2016;355:i5733
  1. Sarah Hancox, foundation year 2 doctor1,
  2. David Howlett, consultant radiologist1
  1. 1East Sussex Healthcare Trust, Eastbourne District General Hospital, Eastbourne, UK
  1. Correspondence to: S Hancox sarahhancox{at}nhs.net

A 50 year old man presented to the emergency department with swelling and venous engorgement of his face, arms, and upper chest. He also had increasing shortness of breath. Chest radiography showed mediastinal widening. What does the computed tomography (CT) scan show (fig 1)?

Fig 1 …

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