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1 Mayo Clinic and Mayo Foundation, Rochester, Minnesota
A 64-year-old farmer developed acute cardiorespiratory distress. Physical examination and laboratory and roentgenographic evaluation suggested acute cardiac tamponade. However, angiographic studies and thoracic exploration revealed the presence of an acutely inflamed thymic cyst. Excision relieved the symptoms. Acute enlargement of a thymic cyst should he considered in the differential diagnosis of acute mediastinal enlargement.
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