case_images: PMC3179900_01
case_images: Paracardiac mass on transthoracic echocardiography.
case_images: CRIM2011-497960.001.jpg
case_images: PMC3179900_01_CRIM2011-497960.001.jpg
case_images: fig1
case_images: Two years ago a mass was observed near the left cardiac margin measuring 6.5 x 5.7 cm in a modified left parasternal view of the transthoracic using echocardiography (Figure 1).
case_images: A well-circumscribed mass at the middle lung field.
case_images: CRIM2011-497960.002.jpg
case_images: PMC3179900_01_CRIM2011-497960.002.jpg
case_images: fig2
case_images: On chest roentgenogram, a well-circumscribed mass in the middle zone of the left lung field was observed (Figure 2).
case_images: Computed tomography shows a homogeneous large cystic mass with a small solitary nodular area at the inferior margin.
case_images: CRIM2011-497960.003.jpg
case_images: PMC3179900_01_CRIM2011-497960.003.jpg
case_images: fig3
case_images: These two masses were both well defined and homogeneous (Figures 3 and 4).
case_images: Computed tomography shows homogeneous cystic mass at the costosternal junction.
case_images: CRIM2011-497960.004.jpg
case_images: PMC3179900_01_CRIM2011-497960.004.jpg
case_images: fig4
case_images: These two masses were both well defined and homogeneous (Figures 3 and 4).
case_images: Operative view after sternotomy and preserving nervus vagus; huge mass occupying aortic arch.
case_images: CRIM2011-497960.005.jpg
case_images: PMC3179900_01_CRIM2011-497960.005.jpg
case_images: fig5
case_images: The chest was opened by sternotomy, and a huge encapsulated mass was observed dwelling the aortic arch and the left pulmonary artery with a proximal extension to the ascending aorta (Figure 5).
case_images: Resected encapsulated mass.
case_images: CRIM2011-497960.006.jpg
case_images: PMC3179900_01_CRIM2011-497960.006.jpg
case_images: fig6
case_images: The cut surfaces had a bright, tan/yellow, gelatinous appearance, and a small solid area was observed in the larger one (Figures 6 and 7).
case_images: Cut surface of the mass; gelatinous, tan/yellow appearance with a solid area at the edge.
case_images: CRIM2011-497960.007.jpg
case_images: PMC3179900_01_CRIM2011-497960.007.jpg
case_images: fig7
case_images: The cut surfaces had a bright, tan/yellow, gelatinous appearance, and a small solid area was observed in the larger one (Figures 6 and 7).
case_images: Atypical cells in hypercellular area (H&E; 50).
case_images: CRIM2011-497960.008.jpg
case_images: PMC3179900_01_CRIM2011-497960.008.jpg
case_images: fig8
case_images: Immunohistochemical analysis was positive for S-100 protein (Figures 8 and 9).
case_images: S-100 positivity in atypical cells.
case_images: CRIM2011-497960.009.jpg
case_images: PMC3179900_01_CRIM2011-497960.009.jpg
case_images: fig9
case_images: Immunohistochemical analysis was positive for S-100 protein (Figures 8 and 9).