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Case:  An 89 year old male presented to the outpatient department with progressive dyspnea and chest pain.

History:  The patient had a history of a Non-ST-Elevation (NSTE) myocardial infarction (MI) in 2007 and 2008 on the base of a known coronary heart disease (CHD). He underwent a bypass operation in 2008. Chronic anemia is also known.

Investigation: A standard chest x-ray was performed.

X-Ray Findings: The image shows a pleural effusion on the right side. There is also a right hilar mass with a diameter of 14 cm. Minor pulmonal venous congestion.

Question: What is the anatomic situation and pathology?

 
   
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Answers
 
  a) Herniation through the diaphragm
  b) Lymphoma
  c) Bronchial Cancer
  d) Tuberculosis
  e) Aneurysm
 
 
   
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This competition runs until September 19, 2008. All participants must submit their result using the web reply form by no later than September 19, 2008, 23:59 CET.

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