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An<jats:sup>18<\/jats:sup>F-FDG positron-emission tomography-CT demonstrated an indeterminate, intensely FDG-avid 5 cm \u00d7 2 cm \u00d7 5.6 cm \u00d7 6.7\u2009cm mass centred within the junction of the superior vena cava and right atrium, suggestive of probable malignancy versus an inflammatory thrombus. After multidisciplinary consideration, patient underwent a diagnostic minithoracotomy and a thick fibrotic mediastinal mass was visualised and evacuated. The encapsulated mass contained thick, white creamy liquid that appeared to be purulent\/necrotic material. The biopsies of the capsule wall on frozen section demonstrated fungal elements consistent with Aspergillosis species. Fungal culture confirmed diagnosis of<jats:italic>Aspergillus fumigatus<\/jats:italic>.<\/jats:p>","DOI":"10.1136\/bcr-2017-221140","type":"journal-article","created":{"date-parts":[[2017,8,7]],"date-time":"2017-08-07T14:15:41Z","timestamp":1502115341000},"page":"bcr-2017-221140","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Postsurgical mediastinal aspergilloma masquerading as malignancy"],"prefix":"10.1136","volume":"2017","author":[{"given":"Saira","family":"Farid","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar","family":"AbuSaleh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nana","family":"Aburjania","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6499-5543","authenticated-orcid":false,"given":"Muhammad Rizwan","family":"Sohail","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,8,7]]},"reference":[{"key":"2025042712252765000_2017.aug07_1.bcr-2017-221140.1","doi-asserted-by":"crossref","first-page":"468","DOI":"10.14503\/THIJ-14-4732","article-title":"Aspergillus mediastinitis after orthotopic heart transplantation: a case report","volume":"42","author":"El-Sayed Ahmed","year":"2015","journal-title":"Tex Heart Inst J"},{"key":"2025042712252765000_2017.aug07_1.bcr-2017-221140.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2009.11.005"},{"key":"2025042712252765000_2017.aug07_1.bcr-2017-221140.3","doi-asserted-by":"crossref","first-page":"926","DOI":"10.1016\/j.mayocp.2012.05.018","article-title":"Surgical excision of invasive aspergillosis of the right ventricle presenting as intractable ventricular arrhythmia and right ventricular mass","volume":"87","author":"Rajbanshi","year":"2012","journal-title":"Mayo Clin Proc"},{"key":"2025042712252765000_2017.aug07_1.bcr-2017-221140.4","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-005-1327-5"},{"key":"2025042712252765000_2017.aug07_1.bcr-2017-221140.5","doi-asserted-by":"publisher","DOI":"10.1097\/00007890-200001150-00020"},{"key":"2025042712252765000_2017.aug07_1.bcr-2017-221140.6","doi-asserted-by":"crossref","first-page":"866","DOI":"10.1016\/S0022-5223(19)43141-3","article-title":"Aspergillus aortitis following replacement of aortic valve","volume":"53","author":"Leffert","year":"1967","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025042712252765000_2017.aug07_1.bcr-2017-221140.7","first-page":"52","article-title":"Invasive aspergillosis in intensive care unit patients in Iran","volume":"56","author":"Hedayati","year":"2013","journal-title":"Acta Medica"},{"key":"2025042712252765000_2017.aug07_1.bcr-2017-221140.8","first-page":"673","article-title":"[Two cases of Aspergillus endocarditis after cardiac surgery in childhood]","volume":"49","author":"Kawasaki","year":"1996","journal-title":"Kyobu Geka"},{"key":"2025042712252765000_2017.aug07_1.bcr-2017-221140.9","doi-asserted-by":"publisher","DOI":"10.1086\/377537"},{"key":"2025042712252765000_2017.aug07_1.bcr-2017-221140.10","first-page":"270","article-title":"Nosocomial Aspergillus flavus wound infections following cardiac surgery","volume":"12","author":"Florio","year":"2004","journal-title":"Infez Med"},{"key":"2025042712252765000_2017.aug07_1.bcr-2017-221140.11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-7117.2008.00003.x"},{"key":"2025042712252765000_2017.aug07_1.bcr-2017-221140.12","doi-asserted-by":"publisher","DOI":"10.1086\/342699"},{"key":"2025042712252765000_2017.aug07_1.bcr-2017-221140.13","doi-asserted-by":"crossref","DOI":"10.1093\/eurheartj\/ehl178","article-title":"Contained aortic rupture secondary to post-surgery mediastinitis due to Aspergillus fumigatus","volume":"28","author":"Nevado Portero","year":"2007","journal-title":"Eur Heart J"},{"key":"2025042712252765000_2017.aug07_1.bcr-2017-221140.14","doi-asserted-by":"crossref","DOI":"10.1186\/1749-8090-2-23","article-title":"Risk factors for mediastinitis after cardiac surgery - 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