Imaging in a Case of Extensive Paediatric Mediastinal Lymphoma Presenting as Haemothorax

Abstract

Lymphomas are the third most common paediatric malignancies and the most common paediatric mediastinal masses. On imaging they present as large, lobulated, homogenous, predominantly anterior mediastinal masses with possible extension into other mediastinal compartments and vascular encasements. Effusions, lung involvement and extensive disease are more common in paediatric patients; however haemothorax is an uncommon occurrence. In our case, multi-compartmental involvement, vascular encasement and haemothorax were the striking features.

Keywords

• chest imaging
• paediatric oncology
• thoracic mass