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Images in Thorax
Unresectable undifferentiated sarcoma of the pulmonary artery
  1. Ahmad Shalabi1,
  2. Thomas Graeter1,
  3. Carlos Velandia2,
  4. Jonas Kuon3,
  5. Ahmed Ehab4,5
  1. 1 Thoracic Surgery, SLK-Lungenklinik Lowenstein, Lowenstein, Germany
  2. 2 Thoracic Radiology, SLK-Lungenklinik Lowenstein, Lowenstein, Baden-Württemberg, Germany
  3. 3 Thoracic Oncology, SLK-Lungenklinik Lowenstein, Lowenstein, Baden-Württemberg, Germany
  4. 4 Pulmonary Medicine Department, Mansoura University Faculty of Medicine, Mansoura, Egypt
  5. 5 Pulmonary Medicine, SLK-Lungenklinik Lowenstein, Lowenstein, Germany
  1. Correspondence to Dr Ahmad Shalabi, thoracic surgery, SLK-Lungenklinik Lowenstein, Lowenstein, Germany; ahmadfshalabi{at}gmail.com

https://doi.org/10.1136/thorax-2022-219719

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    Case

    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.

    The …

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    Footnotes

    • 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.