A tour of the thymus: a review of thymic lesions with radiologic and pathologic correlation

Can Assoc Radiol J. 2015 Feb;66(1):5-15. doi: 10.1016/j.carj.2013.09.003. Epub 2014 Apr 13.

Abstract

The thymus is routinely encountered on cross-sectional imaging studies of the chest. It has a variable appearance, undergoes dynamic changes during periods of stress, and demonstrates numerous different pathologic lesions. Understanding the imaging characteristics of these different lesions facilitates accurate radiographic diagnosis and can prevent unnecessary follow-up imaging and intervention. This article will review normal thymic anatomy and development, thymic hyperplasia and associated medical conditions, and the imaging and pathologic features of various benign and malignant thymic lesions.

Keywords: Thymic lesion; Thymic mass; Thymic tumour; Thymus.

Publication types

  • Review

MeSH terms

  • Carcinoid Tumor / diagnostic imaging*
  • Humans
  • Lipoma / diagnostic imaging*
  • Lymphoma / diagnostic imaging
  • Mediastinal Cyst / diagnostic imaging
  • Neoplasms, Glandular and Epithelial / diagnostic imaging*
  • Neoplasms, Glandular and Epithelial / pathology
  • Thymus Gland / anatomy & histology*
  • Thymus Hyperplasia / diagnostic imaging*
  • Thymus Hyperplasia / pathology
  • Thymus Neoplasms / diagnostic imaging*
  • Thymus Neoplasms / pathology*
  • Tomography, X-Ray Computed

Supplementary concepts

  • Thymic epithelial tumor