16th February 2024

A 43-year-old female presents to the acute medical unit with coughing and chest pain.

A 43-year-old female presents to the acute medical unit with coughing and chest pain. She has also noted increasing fatigue and weakness over the past 3-4 weeks, especially after exertion. She also notes double vision that worsens as the day progresses. Examination reveals bilateral ptosis with nystagmus in all directions. Facial congestion is noted when her hands are raised straight up. A chest X-ray has shown a mass.

Where is the mass likely located?