PMC4821329_01
Chest X ray of patient showing left sided effusion with left upper zone rounded opacity with intercostal drain in situ.
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Her chest radiograph was suggestive of massive left pleural effusion with left upper zone rounded opacity (Fig 1).
Chest computed tomogram showing heterogeneously enhancing mass lesion along posterior chest wall in left upper lobe and left sided moderate pleural effusion.
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Computed tomography revealed a well defined heterogeneously enhancing mass lesion along the posterior chest wall in left upper hemithorax with massive left sided effusion (Fig 2) MRI was done to rule out chest wall origin or invasion and it suggested a well defined lesion in the D4, D5 paravertebral region?neurogenic tumor with massive left side pleural effusion with left lower lobe collapse.
Thoracoscopic appearance of a large vascular tumor arising from posterior chest wall.
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Histopathological slide showing hemangioma.
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Biopsy from the tumor was taken with electrocautery assistance to prevent excessive bleeding. Biopsy was suggestive of pleural hemangioma. (Fig. 4).
Chest X ray of patient post operatively showing no reaccumulation of fluid.
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There was no re-accumulation of pleural fluid on follow-up chest skiagram after 14 days (Fig. 5).