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Episode from the podcastSurgery 101

170. Mediastinal Masses

Released Wednesday, 25th November 2015
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 In this episode, Thoracic Surgeon Dr. Simon Turner discusses Mediastinal Masses.
Imagine that you’ve ordered a chest x-ray on a patient of yours with shortness of breath. When you look at the x-ray the lungs look normal, but you notice to your surprise that the mediastinum looks quite abnormal. You speak with a radiologist who confirms your suspicions that your patient has a widened mediastinum and a probable mediastinal mass. What is the differential diagnosis of this x-ray finding and what should be done about it?
Because mediastinal masses are not infrequently found incidentally on chest x-rays, every physician should have some basic knowledge about these lesions.
The objectives include the:
  • Anatomy of the mediastinum
  • Differential diagnosis of mediastinal masses
  • Approach to work-up and treatment of these legions