Mediastinal Lymphoma (CT).

Clinical impression: Smoking, fever, recurrent hemoptysis .

Pre and post contrast MDCT scans were obtained for the chest.

• The mediastinum shows diffuse amalgamated variable sized LNS , with subtle post contrast enhancement , with left hilar LN measures about 3cm. 
• Right apical lung zone sows cystic bronchiectasis , otherwise, The lungs are clear.
• No evidence of any focal parenchymal lesion is observed.
• No evidence of atelectasis is seen.
• No evidence of any focal or diffuse emphysema is noted.
• No evidence of interstitial disease is seen.
• The mediastinal vasculature is normal.
• The pleural spaces are clear.

IMPRESSION:

• Picture is highly suggestive of lymphoma as described, for clinical correlation. 

• Right apical cystic bronchectatic changes. 

Reported By : DR MOHAMED MOHIE ELDIN                                 DR.MOHAMED SOBHY
CONSULTANT RADIOLOGY                                              Radiologist