SAQ 689 – Respiratory – middle mediastinal mass on chest X-ray

A 47-year-old man with no past medical history presents with three months of dry cough and increasing orthopnoea. His chest X-ray is shown below.

State the exact location of the abnormality.

(Marked out of 1.0)

/ 1

State four (4) characteristics of the lesion that help you distinguish its location.

(Marked out of 4.0)

/ 4

Excluding lymph node, and based on the identified location, list three (3) differential diagnoses for the finding.

(Marked out of 3.0)

/ 3

List two (2) important further investigations you would request for this patient, with one rationale for each.

(Marked out of 4.0)
</p> <table class="saq-prop-table" style="width: 100%; max-width: 100%; table-layout: fixed; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Investigation</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Rationale</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">1.</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">2.</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

/ 4

Total Score: 0 / 12

Percentage: 0%