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Images in Thorax
Pulmonary adenocarcinoma presenting as a giant pleural mass
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A 57 year old female non-smoker with no asbestos exposure was admitted with right chest pain and fever. Magnetic resonance imaging revealed a huge mass occupying the right hemithorax (fig 1). She underwent right posterolateral thoractomy following a negative bronchoscopic examination with transbronchial lung biopsy and transthoracic needle biopsy. A giant, well circumscribed, lobulated solitary tumour 13 cm in diameter attached with a pedicle to the visceral pleura was surgically removed (fig 2A). Macroscopically, the tumour was nearly protruding …