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Special Feature |

Image of the Month—Quiz Case FREE

Christopher R. Newton, MD; Gregory P. Victorino, MD
[+] Author Affiliations

From the Department of Surgery, University of California[[ndash]]San Francisco, East Bay, Oakland.


Section Editor: Grace S. Rozycki, MD

More Author Information
Arch Surg. 2003;138(3):341. doi:10.1001/archsurg.138.3.341.
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Published online

A 59-YEAR-OLD woman was referred to the surgical service for evaluation of a thoracic mass. She complained of difficulty breathing and a progressive, nonproductive cough. A chest radiograph and computed tomographic scan showed a large right-sided chest mass compressing the right upper lobe of the lung (Figure 1), with tracheal and aortic arch deviation (Figure 2). Magnetic resonance imaging showed the mass to be homogeneous.

After a biopsy of the mass guided by means of computed tomography, she underwent an elective thoracotomy. The mass was confined to the right side of the upper chest cavity, with significant compression of the right lung. It measured 12 × 16 cm and weighed 920 g.

A. Lymphoma

B. Malignant schwannoma

C. Benign neurilemoma

D. Pulmonary sequestration

Corresponding author: Gregory P. Victorino, MD, Department of Surgery, University of California–San Francisco, East Bay, 1411 E 31st St, Oakland, CA 94602.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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