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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 …
Contributors All authors were responsible for the conception of the work, drafting of the work and final approval of the version to be published. DG affirms that the manuscript is an honest, accurate and transparent account of the case being reported and that no important aspects of the case have been omitted.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.