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A 70-year-old female patient with known Parkinson’s disease and arterial hypertension presented with a progressive exertional dyspnoea over the last couple of months. She also suffered from night sweats and weight loss of 5 kg which the patient claimed to be intentional. Angina, syncope, cough, fever and haemoptysis were denied. Chest X-ray was performed and a right paratracheal mass was observed. Therefore, a CT thorax was indicated and showed a 12.6×6.5 cm right central mass with infiltration of the pulmonary artery. Furthermore, intrapulmonary artery opacity was detected and initially interpreted as a saddle pulmonary thrombus.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.