A 41-year-old woman presents with progressive ptosis and intermittent diplopia worsening throughout the day. She reports difficulty sustaining arm elevation above her head after prolonged activity. Vital signs: BP 118/76, HR 82, RR 14, Temp 37°C, SpO2 98% on room air. Edrophonium transiently improves her symptoms. Serum anti-acetylcholine receptor antibodies are positive. Chest CT is most likely to demonstrate which of the following associated findings?
- A)Calcified pleural plaques
- B)Hilar lymphadenopathy with noncaseating granulomas
- C)Anterior mediastinal thymic abnormalityGABARITO
- D)Apical cavitary lesion with caseation
- E)Posterior mediastinal neuroblastoma
Explicação
This patient has myasthenia gravis. Many patients have thymic hyperplasia or thymoma, so imaging often shows an anterior mediastinal thymic abnormality. Ver explicação completa e trilha adaptativa →