Case 36-1962

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Abstract
Presentation of CaseA sixty-year-old man was admitted to the hospital because of cough and a mediastinal mass.Six months previously the patient began to have a constant tickle in the throat that led to paroxysms of hacking cough, leaving him weak and with epigastric pain. The cough was occasionally productive of a moderate amount of yellow sputum; no hemoptysis occurred. Two weeks before entry, after a particularly severe paroxysm, his physician noticed inflammation of the throat, persistently dilated, nonpulsatile neck veins and increased substernal dullness. A fluoroscopic examination of the chest revealed a large, nonpulsating substernal mass overriding the . . .

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