patient: 37y/o female. symptoms: anaemia, raised liver enzymes, smokes 20/day for 12 yrs, widened mediastinum on CXR, ?spinal cord compression.  -> Would you say this presents with lung carcinoma leading to secondary spinal tumor. Or a mediastinal tumor. If mediastinal would it be posterior?
Thanks for your question on Chat Doctor. I can understand your situation and problem. Since patient is heavy smoker, possibility of lung cancer is high. And spinal metastasis is very common in lung cancer. This can lead to spinal cord compression. Another possibility is mediastinal tumor, mostly lymphoma. Lymphoma is mostly seen in posterior mediastinum but can involve anterior, middle mediastinum. So better to get done CT thorax with Contrast to rule out lung cancer or mediastinal mass. Also get done MRI spine to rule out spine metastasis as a cause for spinal cord compression.