ABSTRACT

Mediastinal masses can come to the doctor’s attention in a variety of ways: • routine X-ray in an asymptomatic patient; • through pressure on the trachea; • cough and dyspnoea; • dysphagia due to pressure on the oesophagus; • hoarseness with recurrent laryngeal nerve palsy; • superior vena caval obstruction through local compression; • shortness of breath if there is a phrenic nerve palsy.