PMC9929661_01
CT scan showing a cystic mass in the femoral sheath (red circle). CT, computerized tomography.
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A duplex ultrasound showed deep vein thrombosis (DVT) of the femoral vein as well as a 3.8 cm mass in the femoral sheath; a computerized tomography (CT) scan also confirmed a soft tissue mass in the femoral sheath with an abutment of the femoral artery (Figure 1).
PET scan showing activity in the right lower lobe (red circle). PET, positron emission tomography.
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However, 12 years after the initial treatment for her right leg EHE, a surveillance chest X-ray identified a 7 mm nodule in the right lower lobe, confirmed by a positron emission tomography (PET) scan (Figure 2).
Intraoperative image showing the right lower lobe mass (yellow circle).
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A video-assisted thoracic surgery was performed with a wedge resection on the nodule (Figure 3), pathologically confirmed to be EHE with clear surgical margins.