Mediastinal B-Cell Lymphoma Presenting with Jugular-Subclavian Deep Vein Thrombosis as the First Presentation

Figure 1

CT chest with contrast: 6/29/2014. Technique: contiguous transaxial images were obtained from the thoracic inlet to the upper abdomen with contrast. 125 cc omnipaque 350. (a) Thrombosis of the right internal jugular vein with extension to the right innominate vein and subclavian vein was noted (green arrow). The origin of the great vessels was patent. There was an anterior mediastinal mass (white arrow) present measuring  cm. Fibrotic changes were noted at the right base. There was no pulmonary mass or infiltrate. The thin cut after contrast series demonstrated no evidence of large pulmonary emboli. Fluid attenuation was noted just superior to the azygos arch likely representing prominence of the pericardial recess. There was a  cm lymph node in the subcarinal region image. There were prominent right axillary lymph nodes noted. (b) There was prominent soft tissue attenuation in the anterior mediastinum which was abutting the thrombosed jugular and innominate veins (white arrow). This was likely superior extension of the previously mentioned anterior mediastinal mass.

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