Anterior mediastinal lesions: CT and MRI features and differential diagnosis

Jpn J Radiol. 2021 Feb;39(2):101-117. doi: 10.1007/s11604-020-01031-2. Epub 2020 Sep 2.

Abstract

Anterior mediastinum is the most common location of mediastinal tumors, which include various solid and cystic lesions. The lesion location and CT and MRI features are important in the differential diagnosis. Recently, CT-based mediastinal compartment classification systems were proposed and suggested to be useful for accurate evaluation of mediastinal lesions. CT and MRI reflect the pathological findings of mediastinal lesions, and knowledge of the pathological features is important for the differential diagnosis. In this article, we review the CT and MRI features of anterior mediastinal lesions and describe important points in the differential diagnosis.

Keywords: Anterior; Computed tomography; Magnetic resonance imaging; Mediastinum.

Publication types

  • Review

MeSH terms

  • Cysts / diagnostic imaging
  • Diagnosis, Differential
  • Goiter / diagnostic imaging
  • Humans
  • Lymphoma / diagnostic imaging
  • Magnetic Resonance Imaging*
  • Mediastinal Neoplasms / diagnostic imaging*
  • Mediastinum / diagnostic imaging*
  • Neoplasms, Germ Cell and Embryonal / diagnostic imaging
  • Thymus Hyperplasia / diagnostic imaging
  • Thymus Neoplasms / diagnostic imaging
  • Tomography, X-Ray Computed*