Chest computed tomographic scan. Figure 1A, 1B An enhanced Chest computed tomographic scan revealed a mass in the anterior segment of the right upper lobe with continuation to some mediastinal swelling lymph nodes. Multiple swelling lymph nodes could be found in the mediastinum. Figure C Three-D reconstruction showed the superior vena cava, whose lumen was unobstructed but deformated under the compression of the mass. Figure 1D, 1E Postoperative enhanced Chest computed tomographic scan images. Figure 1F, 1G Surgical findings of the mediastinal mass. Figure 1H Surgical findings of the intrapulmonary mass. Figure 1I Reconstruction of left brachiocephalic vein to right auricle and reconstruction of right brachiocephalic vein to superior vena cava.