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    J Korean Soc Radiol. 2012 Mar;66(3):271-274. Korean.
    Published online Mar 31, 2012.
    https://doi.org/10.3348/jksr.2012.66.3.271
    Copyright © 2012 The Korean Society of Radiology
    Case Report

    Spontaneous Interlobar Pneumothorax in a Localized Fibrous Tumor of in the Pleura

    Young Tong Kim, MD
      • Department of Radiology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea.
    • Corresponding author: Young Tong Kim, MD. Department of Radiology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, 31 Suncheonhyang 6-gil, Dongnam-gu, Cheonan 330-721, Korea. Tel. 82-41-570-3515, Fax. 82-41-579-9026, Email: ytokim@schmc.ac.kr
    Received December 03, 2011; Accepted February 06, 2012.

    Abstract

    We report a case of a localized fibrous tumor of in the pleura pleura; this tumor was associated with interlobar pneumothorax, which, to our knowledge, has not been reported to date. A 63-year-old woman presented with an incidentally-detected nodule, which was seen on her chest radiograph. It presented as a mural nodule within a cystic lesion, on the chest radiograph and axial CT, and a reformatted sagittal CT image could then be diagnosed as a pleural tumor associated with interlobar pneumothorax.

    Keywords
    Solitary Fibrous Tumor; Pleura; Pneumothorax

    Figures

    Fig. 1
    Spontaneous interlobar pneumothorax associated with localized fibrous tumor of pleura in a 63-year-old woman.
    A. Posteroanterior chest radiograph shows a 2 cm sized nodule (arrow) and surrounding linear structures (open arrowheads) in right hilar area.

    B. Lateral chest radiograph shows air-filled cystic lesion (open arrowheads) in right mid lung.

    C. Serial axial chest CT images show irregular shaped air-filled cystic lesion in right lung, with obtuse angle between cystic wall and pleura (arrow), a well-marginated nodule in medial wall of cystic lesion (arrowhead). The top and bottom portion of cystic lesion continues to the right major fissure (open arrows).

    D. Reformatted coronal CT image shows a nodule (arrowhead) in the medial wall of cystic lesion, with obtuse angle (arrow) between cystic wall and pleura.

    E. Reformatted sagittal CT image shows the anteroinferior portion of localized air filled cystic lesion tapers into right major fissure (open arrow), and a well-marginated nodule (arrowhead) within cystic lesion.

    F. The tumor is composed of spindle-shaped, fibroblast-like cells with abundant collagen fibers (H&E, × 100).

    References

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    MeSH Terms
    Female
    Humans
    Middle Aged
    Pleura
    Pneumothorax
    Solitary Fibrous Tumors
    Thorax
    Metrics
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