A member asked:

3.3cm soft tissue dens ant/sup mediastinum likely residual or reactive thymus tissue? does ur need biopsy?

4 doctors weighed in across 2 answers
Dr. Gerald Mandell answered

Specializes in Nuclear Medicine

Biopsy: Inflammatory bowel disease (ibd)consists of two forms of intestinal inflammation: ulcerative colitis and crohn's disease. Besides abnormalities of immunoglobulins production t lymphocytes play an important role in pathogenesis of ibd and t cell maturation in thymus associated with ibd.Thymoma and myasthenia gravis have been reported as possible association. Not normal to have mediastinal mass.

Answered 4/28/2017

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Could be either: The thymus tends to involute in adults and often is just a small vestige of an organ. It can however become active under certain circumstances. The most concerning issue would be a thymoma or tumor of the thymus gland. That is often seen in neurological conditions like myasthenia gravis. I would be curious to know how/why this was found.

Answered 11/28/2017

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