Case 102 – Update 2.

Thanks for everyone’s contributions!

We have been discussing the management of a predominantly idiopathic upper limb DVT in our young lady on the combined OCP. She is on therapeutic LMWH and currently continues on the combined OCP. However, your requested investigations have now been completed and are as follows:

  1. CTPA: No evidence of PE or accessory rib but large mediastinal mass (11cm).
  2. Antiphospholipid screen: Normal.


  1. What are your main differential diagnoses?
  2. What further investigations do you want?

Join us on Twitter @TeamHaem and let us know what your thoughts are, what questions you have and what you want to do as we see this case evolve over the next week. 

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