An unusual case of an anterior mediastinal mass in a child with cystic lung disease

S Chaya, HJ Zar, A Vanker, D Gray, M Zampoli, and K Pillay, Division of Paediatric Pulmonology, Department of Paediatrics and Child Health, Red Cross War Memorial Children’s Hospital and MRC Unit on Child & Adolescent Health, University of Cape Town, South Africa. Correspondence to: Shaakira Chaya, Fellow in Paediatric Pulmonology, Department of Paediatrics and Child Health, Red Cross War Memorial Children’s Hospital. Email: [email protected] no lymphadenopathy and his skin had a disseminated healing rash with punched out lesions. The chest examination revealed a central trachea with dullness and decreased air entry on the right compared with the left. There was no hepatomegaly or splenomegaly. Investigations showed a raised white cell count with a microcytic anaemia and a normal erythrocyte sedimentation rate (ESR). Beta-human chorionic gonadotropin, alfa-feto protein, uric acid, and lactate dehydrogenase were normal (see Table 1).