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Incidental Anterior Mediastinal Mass – FDG PET/CT Case Review

About this Video Lesson

A 37-year-old male is found to have an incidental anterior mediastinal mass on routine chest X-ray. In this video, Dr. Ziad Risheq reviews the FDG PET/CT findings and discusses the differential diagnosis, imaging features, and clinical implications of a hypermetabolic, necrotic anterior mediastinal mass—most consistent with a thymic carcinoma. The case illustrates how PET/CT contributes to characterizing such lesions and guiding further management.

Learning Objectives:

After watching this video, learners will be able to:

  • Describe the typical PET/CT features of anterior mediastinal masses, particularly thymic carcinoma.
  • Understand the role of FDG uptake and SUVmax in characterizing lesion activity.
  • Recognize key imaging features suggestive of necrosis and local invasion.
  • Integrate CT and PET findings to refine differential diagnoses of anterior mediastinal tumors.
  • Appreciate the value of PET/CT in staging and assessing aggressiveness in suspected thymic malignancies.

Authors

Risheq, Ziad

Ziad Risheq

Dr. Ziad Risheq is a highly respected nuclear medicine physician in Amman, Jordan, and a Fellow of the European Board of Nuclear Medicine (FEBNM), a recognition of his advanced expertise and dedication to the field. With a deep commitment to advancing nuclear medicine, he has contributed to clinical practice, research, and education, establishing himself as a trusted professional in the discipline.

In addition to his professional achievements, Dr. Risheq actively engages with the broader medical community through social media. He shares insights, educational content, and updates about nuclear medicine on Instagram, where he has cultivated a following under his handle @nuclide.notes. His approachable style and dedication to sharing knowledge have made him a valuable presence in the online medical community.

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Incidental Anterior Mediastinal Mass – FDG PET/CT Case Review
Incidental Anterior Mediastinal Mass – FDG PET/CT Case Review

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Incidental Anterior Mediastinal Mass – FDG PET/CT Case Review

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