Medical History A 38 years-old male patient with hypertension, diabetes and undergoing renal replacement therapy with hemodialysis through femoral catheterization is admitted with arthralgia, pain and swelling in the right thigh. Physical examination of the patient reveals a poor general status, conscious, feverish, dyspneic and with chills. The patient has an important pre-sternal bulging and cervical and inguinal lymphadenopathy. The medical team orders blood-cultures and computed tomography of the thorax (Images 1 to 4). Computed tomography of the thorax, axial view, T3 level, mediastinum window, after the intravenous infusion of iodinated contrast media.Computed tomography of the thorax, axial view, T5 level, mediastinum window, after the intravenous infusion of iodinated contrast media.Computed tomography of the thorax, axial view, T6 level, lung window.Computed tomography of the thorax, after the intravenous infusion of iodinated contrast media, right paramedian sagittal reconstruction. Question:Considering the clinical history and the imaging exams presented, what is the most likely diagnosis and the most appropriate initial therapeutic approach? Catheter-related bloodstream infections. Hospitalization and IV antibiotic therapy. Hodgkin’s Lymphoma. Hospitalization, neoplasm staging and chemotherapy. Disseminated tuberculosis with lung and ganglionar involvement. RIPE drug regimen for 6 months. Sternal chondrosarcoma. Hospitalization and surgical exeresis of the tumor. Time is Up! Time's up
