Abstract

A 52-year-old male patient who had complaints of breathlessness, dry cough, wheezing, and fever was referred to the Department of Chest Medicine. A plain chest X-ray showed gross widening of the mediastinum with a well-defined homogenous opaque shadow predominantly involving superior mediastinum. Chest CT scan was also carried out, which showed a well-defined ovoid predominantly isodense to hypodense lesion. All these features were suggestive of benign thymoma for which surgery was the mainstay of treatment along with induction chemotherapy and adjuvant radiotherapy. A multidisciplinary approach was recommended for the evaluation and treatment of thymoma or thymic carcinoma owing to its potential for invasion and local recurrence.