In the anterior mediastinum, there is a pyramidal shaped soft tissue. Triangluar with elongated tail 4.5 cm with a width at the arch of .6 cm and the width at the base of the trangluar component of 1.5cm, The position and contours and densisty are suggestive of residual or rebound thymic tissue. Conglomerate adenopathy would be significantly less liekly. No hilar adenopathy evident. A small 3 mm round hypodensity in the left hepatic lobe at the dome is liekly a small liver cyst.
The lungs are symmetrically expanded with minimal biapical emphysema, but no supicicous nodule, infitrate or effusion. Heart and great vessels are unremarkable. Bone window are negative for aggressive osseous lesion with incidental Schmorl's node in particular.
Impressions: Anterior Mediastinal soft tissue mass has features suggestive of residual or rebound thymic tissue, but given the history of hemoptysis, recommended PET scan as adenopathy cannot be excluded in the differential.
You need to talk with your doctor about the results of your chest CT. Only a doctor who knows your history and has examined you could give you a complete interpretation of these results. Most likely further testing would be needed to determine the problem.
Positron emission tomography (PET) or other imaging tests may not give a definite answer. With a history of coughing up blood, called hemoptysis, most likely the first step would be bronchoscopy to try to find the source of the blood. During this procedure a tube called a bronchoscope is passed through your nose into your windpipe to look into your lungs. A bronchoscope is a flexible tube with a small camera at one end. With the bronchoscope tiny pieces of lung tissue can be taken for further testing. This is called lung biopsy. However mediastinoscopy or needle biopsy might be needed to obtain a sample of tissue that will determine the problem.
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