case_images: PMC6374925_01
case_images: Rash seen on upper chest and forehead.
case_images: ZJCH_A_1571880_F0001_PB.jpg
case_images: PMC6374925_01_ZJCH_A_1571880_F0001_PB.jpg
case_images: F0001
case_images: Physical examination revealed a diffuse macular non-blanching non-pruritic rash (Figures 1&2). 
case_images: Gottron's papules seen on the hands.
case_images: ZJCH_A_1571880_F0002_PB.jpg
case_images: PMC6374925_01_ZJCH_A_1571880_F0002_PB.jpg
case_images: F0002
case_images: Gottron's papules were also identified on his hands (Figure 2).
case_images: CT chest with contrast showing the anterior mediastinal mass.
case_images: ZJCH_A_1571880_F0003_B.jpg
case_images: PMC6374925_01_ZJCH_A_1571880_F0003_B.jpg
case_images: F0003
case_images: CT chest done one year back which showed right lung nodules and an anterior mediastinal mass. CT chest was repeated which showed stable right lung nodules and a lobulated thymic mass (Figure 3.) 