case_images: PMC9870702_01
case_images: Initial CTA chest. CTA: Computed tomography angiography. The red arrow shows the sub-apical, mass-like lesion (26.8 mm x 26.5 mm)
case_images: cureus-0015-00000034108-i01.jpg
case_images: PMC9870702_01_cureus-0015-00000034108-i01.jpg
case_images: FIG1
case_images: CTA chest revealed a 26.8 mm x 26.5 mm left anterior subapical pleural-based pulmonary mass-like lesion with central hypoattenuation and surrounding ground-glass changes (Figure 1).
case_images: CT chest 3 weeks later. The image shows a 33 mm x 33 mm new periosteal reaction and destructive bone loss.
case_images: cureus-0015-00000034108-i02.jpg
case_images: PMC9870702_01_cureus-0015-00000034108-i02.jpg
case_images: FIG2
case_images: A new periosteal reaction along the left medial clavicular destructive bone loss of the anterior first rib was also found (Figure 2).