Tumor invasion of surrounding structures, as mediastinal pleura, lung or pericardium is showed on CT. (A) If the tumor exhibited a lobulated interface of the tumor with the adjacent mediastinum pleura, it was characterized as pleura invasion; (B) when the tumor abutted ≥50% of the lung and there was an irregular interface of the tumor with the adjacent lung, involvement of the lung was considered present; (C) pericardium invasion was suggested if the tumor abutted ≥50% of the pericardium, and there was thickening of the pericardium.