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 C08 Respiratory Tract Diseases D012140 +
  C08.846 Thoracic Diseases D013896 +
   C08.846.187 Mediastinal Diseases D008477 +
     C08.846.187.145 Mediastinal Cyst D008476 
     C08.846.187.290 Mediastinal Emphysema D008478 
     C08.846.187.580 Mediastinal Neoplasms D008479 
     C08.846.187.790 Mediastinitis D008480