PMC9870702_01
Initial CTA chest. CTA: Computed tomography angiography. The red arrow shows the sub-apical, mass-like lesion (26.8 mm x 26.5 mm)
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FIG1
CTA chest revealed a 26.8 mm x 26.5 mm left anterior subapical pleural-based pulmonary mass-like lesion with central hypoattenuation and surrounding ground-glass changes (Figure 1).
CT chest 3 weeks later. The image shows a 33 mm x 33 mm new periosteal reaction and destructive bone loss.
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FIG2
A new periosteal reaction along the left medial clavicular destructive bone loss of the anterior first rib was also found (Figure 2).