Correct!
2. Her husband’s occupation

Her husband had been a pipefitter and extensively exposed to asbestos. Our patient washed his clothes which were frequently covered with asbestos dust. Second hand smoke exposure has been associated with respiratory disease but not pleural plaques. Similarly, chlorine exposure from paper mills and exposure to moldy redwood bark have been associated with respiratory disease but not pleural plaques (1,2).

The patient has what appears to be an anterior mediastinal mass (Figure 2).

Figure 2. Thoracic CT scan showing anterior mediastinal abnormality (arrows).

Which of the following have been associated with an anterior mediastinal mass?

  1. Teratoma
  2. Thymoma
  3. Thyroid tumor
  4. Lymphoma
  5. All of the above

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