Mediastinal lymph node enlargement, especially anterior mediastinal lymph node enlargement, is the most common x-ray manifestation of Hodgkin's disease. That does not mean that that is your diagnosis – only that it should be considered in the differential diagnosis and, perhaps most important, that Hodgkin's disease is a treatable, curable disease. Whatever the cause of the lymph node enlargement, a tissue diagnosis will be required.
You should ask your doctor what diagnoses should be considered, given these CT findings and his/her recommendation of the least invasive diagnostic procedure likely to provide an accurate diagnosis. Depending on the distribution of the nodes, mediastinoscopy might be the procedure of choice. Fine-needle aspiration biopsy is generally considered inadequate for the diagnosis of Hodgkin's, but there are reports of percutaneous CT-guided biopsy being both useful and reliable. This decision should, to a large degree, be based upon the experience of your physicians.
I've had a chest CT last Friday that incidentally showed mild mediastinal adenopathy and enlarged subcarinal and paratracheal lymph nodes. I also have a 2.5 mm nodule in the RML of my lung. My PCP has referred me to a pulmonologist but that appointment is not until June 10. The answer posted for you has helped me somewhat and confirmed what search engines are pulling off the internet. My primary care physician told me today that he wanted to develop a banner for the search engines to display at the top of each page in large letters "IT MIGHT BE NOTHING!" I'm a nurse so that does not help things any. Sometimes we know just enough to scare us to death! Best of luck to you.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.