PMC5790678_01
In A, a posteroanterior chest X-ray showing right calcified fibrothorax (asterisks). In B, axial contrast-enhanced CT of the chest scan showing a heterogeneous hypervascular mass (asterisk) infiltrating the right serratus anterior and pectoralis muscles, as well as the fourth rib (long arrow). Note the extensive calcified fibrothorax on the right. In C, axial CT of the chest, with maximum intensity projection, showing a large-core needle biopsy (14-gauge) traversing the chest wall for histological analysis of the mass (asterisk)
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An X-ray of the chest (Figure 1A) showed characteristics similar to those seen on previous X-rays. A CT scan demonstrated a heterogeneous mass that focally destroyed a rib and invaded chest wall muscles (Figure 1B). A CT-guided biopsy of the mass (Figure 1C) revealed a high-grade PEACW.