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Images in neonatal medicine
Life-threatening bleeding from thymic cysts in a newborn
  1. Frank Eifinger1,
  2. Khosro Hekmat2,
  3. Christoph Huenseler3,
  4. Anne Vierzig3,
  5. Bernhard Roth3
  1. 1Children’s Hospital, Department of Neonatology, University of Cologne
    Cologne, Germany
  2. 2Department of Cardiothoracic Surgery, University of Ulm
    Ulm, Germany
  3. 3Children’s Hospital, Department of Neonatology, University of Cologne
    Cologne, Germany
  1. Frank Eifinger, Children’s Hospital, Department of Neonatology, University of Cologne, Joseph-Stelzmann Strasse 9, D-50923 Cologne, Germany; Frank.Eifinger{at}uk-koeln.de
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http://dx.doi.org/10.1136/adc.2006.113209

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    Figure 1 T2-weighted MRI of the thorax showing a large anterior mediastinal mass extending to the thoracic aperture and partially compressing the heart. There are some hyperdense area within the mass, suspicious for bleeding. Pleural effusion is also present.

    Thymic enlargement is a common physiological and incidental finding on chest x rays in healthy neonates and infants. There are usually no clinical symptoms or complications, and pathological lesions in infant thymi are rare. …

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    2007 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child