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(Chest. 1971;59:324-325.)
© 1971 American College of Chest Physicians

Diagnosis of Mediastinal Tumors

X-ray Manifestations of Redundant Pericardial Fat

Thomas V. Thomas M.D., F.C.C.P.1; Richard Thio M.D., F.C.C.P.1; and Alfred Heilbrunn M.D.1

1 Department of Surgery, Veterans Administration Hospital, Kansas City, Missouri, and the University of Kansas School of Medicine, Kansas City, Kansas

An unusual finding of a patient with a large pad of pericardial fat, developed over a brief period, masquerading as a large aneurysm of the ascending aorta or carcinoma of the lung with mediastinal extension is presented. Extensive investigative steps to arrive at a specific diagnosis were carried out to avoid thoracotomy. Thoracotomy was mandatory for correct diagnosis and management of this patient.






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Copyright © 1971 by the American College of Chest Physicians.