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22-Year-Old Female presents with
fevers weight loss and night sweats

CXR mediastinal Lymphoma The Abnormal Mediastinum – KEY WORDS medical students code chest enlarged lung lymph node lymphadenopathy lymphoma mediastinum nodule SVC compressed 22-Year-Old Female presents with
fevers weight loss and night sweats
Ashley Davidoff MD TheCommonVein.net  256Lu 42056c01
Abnormal mediastinal silhouette
The first image represents the normal and the second a mediastinal silhouette that is very abnormal.   There are multiple ?mogul? enlargements, including the region of the aortic knob, the pulmonary segment and the SVC.  The following CT explains the appearance. 
Ashley Davidoff MD TheCommonVein.net 2056c02
Superior Mediastinal Nodes
3 = Prevascular  4 = Lower Paratracheal
Aortic Nodes
6= Paraaortic Nodes
42058c02 Ashley Davidoff MD TheCommonVein.net
Superior Mediastinal Nodes
3 = Prevascular Nodes
This patient has lymphoma and the nodal groups of the mediastinum are all enlarged.
42058c01b
Ashley Davidoff MD TheCommonVein.net
Aortic Nodes 
6= paraaortic
Superior Mediastinal
3 – Prevascular Nodes     4 = Lower Paratracheal
42059c01 Ashley Davidoff MD TheCommonVein.net
Extensive Mediastinal Lymphoma and Lung Nodule
Within the posterior segment of the left upper lobe there a 2.5 cms nodule with mild reticulations likely a lymphomatous deposit
42068c03
Ashley Davidoff MD TheCommonVein.net
Lymphoma in a young female patient
This transverse section through the top of the aortic arch shows multiple enlarged soft tissue masses in the superior mediastinum representing enlarged lymph nodes in this patient with lymphoma. 
he enlarged lymph nodes are outlined in green.
Ashley Davidoff MD TheCommonVein.net  42062c01
Extensive Mediastinal Lymphoma and Lung Nodule
42068c03 Ashley Davidoff MD TheCommonVein.net medical students code chest enlarged lung lymph node lymphadenopathy lymphoma mediastinum nodule SVC compressed