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Radiology Respiratory System 35c66edb

A lesion with sharp outlines extending above the clavicles suggests?

A
Anterior mediastinal lesion
B
Posterior mediastinal lesion
C
Cardiac lesion
D
All of the above
High-Yield Explanation
Ans BThe anterior mediastinum ends below the clavicle while the apical lobes of upper lung lobes extend superior to the clavicles more posteriorly hence if a mass lies in the posterior mediastinum its margins would be lined by air filled lungs and hence seen as sharp margins. This is an extension of the Silhouette sign - the Cervico-thoracic sign.

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