• Pleura: Incomplete border sign bilaterally with tapering
of the outer margins. The pattern mimics a appearance
of holy leaf with distinct thickened and nodular edges,
stereotypical pleural plaque disease.
Question past exposure to asbestosis.
1. Mildly active probably neoplastic anterior mediastinal
mass, contact with great vessels. Differential diagnosis
includes germ cell tumor, thymic carcinoma or thymic
neuroendocrine tumor. Atypical appearance for untreated
lymphoma. A correlation with markers for germ
cell tumors and neuroendocrine tumors might be helpful.
Low FDG avidity is usually associated with less aggressive
behavior, however it also can make detection of metastatic
• Review of the chart shows the patient underwent
anterior mediastinotomy and removal of anterior
mediastinal mass which turned out to be a thyroid
• The KLS Sternal Talon is a new sternal closure device.
The device has two halves that are placed on opposite
sides of the sternotomy and snapped together. Each half
can can have either one or two legs (or hooks). The single-
legged design is shown above.
The device is said to distribute force across a larger area of
bone, which can be helpful in patients with morbid obesity,
diabetes, chronic obstructive pulmonary disease (forceful
coughing), or osteoporosis. The design also allows for
rapid opening in case of post-operative complications.