case_images: PMC11539090_01
case_images: (A) Initial chest X-ray shows there is cavitating lesion with air-fluid level inside it (red arrow) (B) Second chest X-ray. The size of the lesion remains constant, but there is also right pleural effusion and nodule in left parahilar (yellow arrow) (C) and third chest X-ray before open biopsy shows, there is increase fluid level in the cavity and nodule in left parahilar (yellow arrow).
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case_images: From second chest X-ray, the cavitating lesion with air-fluid level was still remains with no significant size changing (Fig. 1).
case_images: Contrast-enhanced CT-scan images of the chest region (A) Axial, (B) Coronal and (C) Sagital. Show cavitating lesion with solid and fluid components forming an air-fluid level (yellow arrow), in anterobasal segment inferior lobe of right lung and right pleural effusion (red arrow).
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case_images: A right peribronchial lymphnode enlargement was identified with 3.4 x 3.1 cm in size (Fig. 2, Fig. 3, Fig. 4).
case_images: Contrast-enhanced CT-scan images of the chest region (A) Axial, (B) Coronal and (C) Sagittal. (A-C) Show loculated pleural effusion in right hemithorax (yellow arrow), some of which bulge to right anterior chest wall (red arrow), (C) Lymphnode enlargement at right peribronchial (green arrow).
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case_images: A right peribronchial lymphnode enlargement was identified with 3.4 x 3.1 cm in size (Fig. 2, Fig. 3, Fig. 4).
case_images: Open biopsy: Hematoxylin and eosin staining showed a rich variety of spindle cells (magnification, 40x, 100x, 200x and 400x) indicated a spindle cell mesenchymal tumor, suggesting a solitary fibrous tumor.
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case_images: Other information we had from surgery, it was a massive adhesion between right inferior lung lobe and chest wall (Figs. 5 and 6).
case_images: Open biopsy: Immunohistochemistry with vimentin, STAT-6,CD34, CD99 indicated a spindle cell mesenchymal tumor, suggesting a solitary fibrous tumor.
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case_images: PMC11539090_01_gr6.jpg
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case_images: Other information we had from surgery, it was a massive adhesion between right inferior lung lobe and chest wall (Figs. 5 and 6).