Constitutional symptoms in a young person
BMJ 2016; 355 doi: https://doi.org/10.1136/bmj.i5781 (Published 07 December 2016) Cite this as: BMJ 2016;355:i5781
- Sarah Hancox, foundation year 2 doctor1,
- David Howlett, consultant radiologist1
- 1East Sussex Healthcare Trust, Eastbourne District General Hospital, King’s Drive, Eastbourne, UK
- Correspondence to: S Hancox sarahhancox{at}nhs.net
A 25 year old woman presented to her general practitioner with recent weight loss and night sweats. On examination she had palpable cervical lymphadenopathy, and a chest radiograph was obtained (fig 1⇓). What does this radiograph show? What is the differential diagnosis?
Fig 1 Chest radiograph
Answer
The chest radiograph (fig 2⇓) shows an anterior mediastinal mass with changes to aortopulmonary soft tissue (A and B) —consistent with mediastinal lymphadenopathy.
Fig 2 Chest radiograph showing mediastinal lymphadenopathy. A and B show nodal enlargement outside the normal mediastinal borders. …
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