© 2003 BMJ Publishing Group Ltd & British Thoracic Society
IMAGES IN THORAX
Calcifying fibrous pseudotumour of the lung
Vancouver General Hospital, Vancouver, Canada V5Z 1M9
Correspondence to:
Correspondence to:
Dr J Mayo
Vancouver General Hospital, 899 West 12th Avenue, Vancouver, Canada V5Z 1M9; jmayo@vanhosp.bc.ca
| The first 150 words of the full text of this article appear below. |
A 2.5 cm mass abutting the right hilum was found on an employment screening chest radiograph in a 31 year old asymptomatic man (fig 1
). Chest CT scans with and without contrast showed a non-enhancing soft tissue mass with no fat or calcification (fig 2). T2 weighted MR images excluded a cystic fluid collection. At 6 month follow up a repeat CT scan showed a 4 mm increase in size and a right middle lobectomy was performed.
[in a new window] Figure 1 PA chest radiograph showing a well circumscribed mass abutting the right hilum.
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[in a new window] Figure 2 CT scan of the chest showing a sharply circumscribed homogenous soft tissue attenuation mass within the right middle lobe.
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Grossly the lung section showed a firm tan well circumscribed mass 2.7 cm in diameter situated in the lung parenchyma without any connection to the pleura (fig 3). Microscopically the lesion was composed of abundant dense hyalinised collagen associated
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