PMC4744072_01
Axial and coronal computed tomography scans of the lesion (a) Pre-surgical resection, July 2011; (b) Post-surgical resection, September 2011.
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FIG1
A CT chest showed dramatic growth of her left upper lobe lesion, now measuring 6x7 cm, sitting adjacent to the anterior pericardium (Figure 1a). The postoperative CT showed a residual 2.7x1.4 cm soft tissue density in the left anterior mediastinum adjacent to the anterior pericardial line, consistent with residual tumor (Figure 1b).
Axial and coronal computed tomography scans of the lesion (a) Pre-salvage radiotherapy, June 2012; (b) Post-salvage radiotherapy in follow-up, June 2015.
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PMC4744072_01_cureus-0008-000000000445-i02.jpg
FIG2
In June 2012, the mass grew up to 5.6x3.8x5 cm (Figure 2a). Follow-up CTs during this time also showed a stable pericardial lesion with no progression or disease recurrence, including the most-recent CT in July 2015 (Figure 2b).
Isodoses from IMRT planning on axial and coronal views.
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FIG3
The organs at risk were the heart and cardiac subunits (Figure 3).