PMC6243308_01
Chest X-ray showing a rounded subpleural mass in the upper left hemithorax (circle). No rib invasion is seen.
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fig1
Chest X-ray was performed (Figure 1) and showed a round subpleural mass in the upper left hemithorax without clear rib invasion.
Doppler ultrasound showing a hypoechoic solid intramuscular mass affecting the right gluteus maximus and demonstrating arterial flow within the mass.
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fig2
As he had three palpable masses, an ultrasound study was performed (Figure 2).
(a, b) CT scan of the thorax after i.v. contrast showing a solitary well-circumscribed, homogeneous solid subpleural mass (circles) in the upper left hemithorax with an obtuse angle between the mass and the chest wall. No rib invasion was noted.
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fig3
CT scan after i.v. contrast administration was performed to narrow the broad differential diagnosis. CT scan of the chest (Figure 3) confirmed the solitary well-circumscribed, homogeneous solid subpleural mass in the upper left hemithorax with an obtuse angle between the mass and the chest wall.
Upper abdominal CT scan after i.v. contrast showing multiple retroperitoneal masses afecting both adrenal glands, left kidney, retrocrural space, intraperitoneal and retroperitoneal fat (arrows).
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fig4
CT scan of the pelvis after i.v. contrast showing multiple intramuscular masses (circle).
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