RT Journal A1 Sainathan S, Pugalenthi A, Danovich S, Fox S, Andaz S T1 IMage of the month—quiz case JF Archives of Surgery JO Archives of Surgery YR 2012 FD August 1 VO 147 IS 8 SP 783 OP 783 DO 10.1001/archsurg.2011.1276 UL http://dx.doi.org/10.1001/archsurg.2011.1276 AB A 57-year-old man presented with anterior chest wall swelling 4 months after a video-assisted thoracic surgery wedge resection of a 2.5-cm benign mass in the right upper lobe. The swelling was associated with mild chest discomfort that worsened with coughing. Physical examination revealed soft, nontender swelling that was well demarcated on the right anterior chest wall in the anterior axillary line and was associated with a cough impulse (Figure 1).