PMC7530211_01
A) Patient on sitting position B) chest X-ray, P-A view: shows huge mass in the left thoracic cavity. C, D) CT scan of the chest: shows a large fatty density with scattered patchy enhancement. C) Intraoperative view of intrathoracic mass D) Resected specimen of the intrathoracic mass.
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A 42-year-old Bangladeshi male (Fig. 1A) visited outpatient clinic of our academic hospital with occasional shortness of breath on exertion for approximately one month without having any chest pain, cough, hemoptysis, weight loss and any remarkable past medical history. A routine chest X-ray (Fig. 1B) was performed, which showed a large homogenous mass occupying two-third of the left chest. Tomography) of chest (Fig. 1C, D) revealed large, homogenous, fat density mass (-97 Hounsfield units, or HU) occupied most of the left chest cavity sparing the apical region with retrosternal herniation to the anterior mediastinum and small portion of right chest with contralateral shift of heart and mediastinal structures. Thoracotomy revealed a round, yellowish, smooth, soft, capsulated huge mass (Fig. 1E) occupying lower two-thirds of the right thoracic cavity. The entire mass was successfully removed by several pieces (Fig. 1F).