Anterior Mediastinal Pseudo-Tumor Tuberculosis: Should We Settle for This Diagnosis?

Mr M.Y., 32 years old, presented since 5 months Dyspnea associated with a productive cough, in a context of night sweats and encrypted weight loss 5 kg in 3 months and who has consulted in a different formation other than ours. Physical examination found: polypnea to 25 cycles/min, with a blood pressure at 120/80 mmHg. The cervico-thoracic examination noted a higher cellar syndrome with swelling in Pilgrim and a turgor of the jugular veins. He has combined to a collateral vein circulation at the cervical level of and high thoracic region. Face Chest x-ray had highlighted right anterior Mediastinal opacity with right low abundance pleural effusion (Figure 1). On a chest CT scan with contrast injection, the mass was tissue, heterogeneous, and measured 73x93x108mm. This mass included the superior vena cava and right innominated venous trunk that was the seat of intraluminal thrombosis associated with mediastinal lymph nodes (Figure 2).