Chest radiograph showed widening of the right superior mediastinum. Opacities were seen in right hilar and right paratracheal regions. Computed tomography (CT) of the thorax showed a large anterior mediastinal mass with right hilar, right paratracheal, and subcarinal lymphadenopathy. There was a small-volume lymph node in the right axilla. Multiple pulmonary nodules and two small liver lesions were identified.