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Special Feature
October 2002

An Abnormal Chest x-Ray

Author Affiliations

GRACE S.ROZYCKIMDFrom the Division of Surgical Critical Care, Department of Surgery, Brigham and Women' s Hospital, Boston, Mass (Dr Hashmi); Department of Surgery, St Agnes Health Care, Baltimore, Md (Dr Parandian).

Arch Surg. 2002;137(10):1193-1194. doi:

A 51-YEAR-OLD white man with a 45-year history of smoking was noted to have an abnormality on a routine chest x-ray. He denied any history of cough, sputum production, chest pain, dyspnea, weight loss, weakness, or tuberculosis. There was no previous chest x-ray available for comparison. The patient's physical examination results were unremarkable. His chest x-ray is shown in Figure 1and a computed tomographic (CT) scan of his chest is shown in Figure 2.

What Is the Diagnosis?

1. Morgagni hernia

2. Right middle lobe tumor

3. Pericardial cyst

4. An anterior mediastinal mass