case_images: PMC4744072_01
case_images: Axial and coronal computed tomography scans of the lesion (a) Pre-surgical resection, July 2011; (b) Post-surgical resection, September 2011.
case_images: cureus-0008-000000000445-i01.jpg
case_images: PMC4744072_01_cureus-0008-000000000445-i01.jpg
case_images: FIG1
case_images: A CT chest showed dramatic growth of her left upper lobe lesion, now measuring 6x7 cm, sitting adjacent to the anterior pericardium (Figure 1a). The postoperative CT showed a residual 2.7x1.4 cm soft tissue density in the left anterior mediastinum adjacent to the anterior pericardial line, consistent with residual tumor (Figure 1b).
case_images: Axial and coronal computed tomography scans of the lesion (a) Pre-salvage radiotherapy, June 2012; (b) Post-salvage radiotherapy in follow-up, June 2015.
case_images: cureus-0008-000000000445-i02.jpg
case_images: PMC4744072_01_cureus-0008-000000000445-i02.jpg
case_images: FIG2
case_images: In June 2012, the mass grew up to 5.6x3.8x5 cm (Figure 2a). Follow-up CTs during this time also showed a stable pericardial lesion with no progression or disease recurrence, including the most-recent CT in July 2015 (Figure 2b).
case_images: Isodoses from IMRT planning on axial and coronal views.
case_images: cureus-0008-000000000445-i03.jpg
case_images: PMC4744072_01_cureus-0008-000000000445-i03.jpg
case_images: FIG3
case_images: The organs at risk were the heart and cardiac subunits (Figure 3).