title: Hepatocellular carcinoma presenting as a mediastinal mass.
abstract: We present a patient with hepatocellular carcinoma with systemic hematogenous metastases, but without parenchymal pulmonary involvement. Thoracic imaging revealed prominent mediastinal involvement. This pattern of hepatocellular tumor spread is unique.
authors.affiliation: Division of Respiratory Medicine, University of Louisville School of Medicine, KY.
authors.forename: R P
authors.initials: RP
authors.lastname: Byrd
authors.forename: T M
authors.initials: TM
authors.lastname: Roy
authors.forename: L G
authors.initials: LG
authors.lastname: Korfhage
authors.forename: C L
authors.initials: CL
authors.lastname: Fields
mesh_terms: D000328:Adult; D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging / Q000556:secondary*; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology*; D008207:Lymphatic Metastasis / Q000000981:diagnostic imaging*; D008297:Male; D008479:Mediastinal Neoplasms / Q000000981:diagnostic imaging*; D011859:Radiography