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A 65-year-old woman with aortic and mitral mechanical prosthetic valves presented with right-sided chest pain. Nine months prior, coronary artery bypass grafting was performed for significant ostial right coronary artery (RCA) and obtuse marginal stenoses. Due to bleeding from the proximal anastomosis of the saphenous vein graft (SVG) to the RCA, urgent sternotomy for repair was required. A subsequent chest radiograph showed a small, rounded structure in the right mediastinum near the aortic arch.On presentation, a chest radiograph showed a nodular opacity in the right anterior mediastinum adjacent …

Mediastinal mass: a mystery of two rounded chambers