CASE HISTORY
A 75-yr-old nonsmoking female, with an unremarkable medical history, was admitted to the emergency ward for evaluation of dyspnoea and right-sided thoracic pain.
Physical examination revealed tachycardia and decreased breath sounds at the right lower base, with dullness on percussion. Electrocardiography showed atrial fibrillation.
A right-sided hemithoracic mass was seen upon chest radiography (fig. 1⇓). Computed tomography (CT) of the chest and magnetic resonance (MR) were also performed (figs 2⇓ and 3⇓).
Chest radiograph.
Computed tomography of the chest.
Magnetic resonance tomography of the chest and abdomen (T2-weighted image).
Laboratory results were as follows: white blood cells = 13.42×106 cells·L-1; red blood cells = 451×106 cells·L-1 and serum total protein 66 g·L-1 (albumin = 55.1%, gammaglobulin = 12.1%). Carcinoembryonic antigen, β2-microglobulin, α-fetoprotein and β-human chorionic gonadotropin were all within normal range.
Abdominal ultrasound revealed a liver cyst. Bone scintigraphy and CT of the …
