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A 69-year-old man was admitted to the hospital because of worsening myasthenia gravis and an anterior mediastinal mass.
The anterior mediastinal mass had been detected on a computed tomographic (CT) scan four years earlier (Figure 1) and had not subsequently increased in size. The patient also had asbestosis, which he had acquired while working as a plumber, and mild, nonprogressive exertional dyspnea. The patient was otherwise well until five months before admission, when his speech became slurred while he was talking on a telephone. At about the same time, saliva began to pool in his mouth and pharynx,
Differential Diagnosis
Clinical Diagnosis
Dr. Peter Siao's Diagnosis
Pathological Discussion
Anatomical Diagnoses
References
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