PMC5683803_01
Chest X-ray PA (1A) and Lateral (1B). Admit chest X-ray indicating moderate right-sided pleural effusion.
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She was found to have a moderate right-sided pleural effusion on chest x-ray (Fig. 1) and was subsequently admitted to the hospital.
CT chest notable for large poorly visualized right lower lobe mass 9.5 cm in maximal diameter (2A), with multiple additional bilateral round lung masses (2B & 2C) and mediastinal lymphadenopathy.
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A non-contrast CT of chest was performed that revealed a large right lower lobe mass with multiple additional bilateral round lung masses and mediastinal lymphadenopathy (Fig. 2).
3A: Spindle cells arranged in poorly formed fascicles are intermixed with dense collagenous bands. 3B: The tumor cells are strongly immunoreactive for CD34.
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On HD10, CT-guided core needle biopsy of a right lung mass was performed; cytology revealed malignant cells consistent with solitary fibrous tumor with extensive necrosis and high mitotic activity (Fig. 3).