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Multilocular thymic cyst presenting with apparent cardiac enlargement on chest radiograph
  1. Dipender Gill1,
  2. Thomas Cox2,
  3. Kunwar Bhatia3,
  4. Rex Stanbridge4,
  5. Mark Layton5
  1. 1Department of Clinical Pharmacology and Therapeutics, Imperial College Healthcare NHS Trust, Hammersmith Hospital, London, UK
  2. 2Department of General Medicine, Barts Health NHS Trust, Whipps Cross Hospital, London, UK
  3. 3Diagnostic Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, Hong Kong
  4. 4Department of Cardiothoracic Surgery, Imperial College Healthcare NHS Trust, Hammersmith Hospital, London, UK
  5. 5Department of Haematology, Imperial College Healthcare NHS Trust, Hammersmith Hospital, London, UK
  1. Correspondence to Dr Dipender Gill, Imperial College Healthcare NHS Trust, Hammersmith Hospital, London, W12 0HS, UK; dipender.gill{at}imperial.nhs.uk

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A 35-year-old man with sickle cell disease presented with dyspnoea and chest pain, and was found to have an apparently enlarged cardiac silhouette on plain chest radiograph (figure 1). A subsequent CT pulmonary angiogram followed by contrast MRI of the thorax (figure 2; T2 coronal fat-saturated MRI) revealed a multiloculated anterior mediastinal lesion with T2 high-signal cystic components and enhancing septa. A percutaneous biopsy showed thymic follicular hyperplasia. The lesion …

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