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Images in Thorax
Solitary fibrous tumour of the pleura causing bulging of the thoracic wall in a 44-year-old man
  1. Gilberto Szarf1,
  2. Alex Rocha Obac1,
  3. Renato de Oliveira2,
  4. Erica Rymkiewicz2,
  5. Luiz Eduardo Villaca Leao2,
  6. Henrique M Lederman1
  1. 1Department of Radiology, Federal University of Sao Paulo, Sao Paulo, Brazil
  2. 2Department of Thoracic Surgery, Federal University of Sao Paulo, Sao Paulo, Brazil
  1. Correspondence to Dr Gilberto Szarf, Rua Sergipe 605 apt. 73, Sao Paulo SP 01243-001, Brazil; gszarf{at}

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A 44-year-old male patient presented with right chest pain for 6 years, along with progressive swelling in the same region. He did not report fever, weight loss, trauma or previous surgery. On physical examination, a 5 cm focal bulge was observed in the right hemithorax just below and medial to the nipple (figure 1). Chest x-ray showed opacification of the anterior lower third of the right hemithorax (figure 2), which on CT scan corresponded to a heterogeneous mass, compressing the right lung parenchyma and the mediastinum, partially protruding through the chest …

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  • Competing interests None.

  • Patient consent Obtained.

  • Ethics approval This study was approved by the IRB of the Federal University of Sao Paulo.

  • Provenance and peer review Not commissioned; externally peer reviewed.