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British Journal of Radiology (2003) 76, 574-576
© 2003 British Institute of Radiology
doi: 10.1259/bjr/67532842
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Pedunculated malignant peripheral nerve-sheath tumour of the diaphragm presenting as recurrent lung infection: ultrasound diagnosis

S-F Ko, MD 1 S-H Ng, MD 1 T-Y Lee, MD 1 P-L Sun, MD 1 S-Y Lee, MD 2 and C-C Hsiao, MD 3

Departments of 1 Radiology, 2 Paediatric Surgery and 3 Paediatrics, Chang Gung University, Chang Gung Memorial Hospital at Kaohsiung, Taiwan



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  		Figure 1. (a) Chest radiograph shows an opacity in the right lower lung, suggesting pneumonia with empyema. Note destruction of the right ninth rib (arrows) was initially overlooked. (b) Ultrasound demonstrates that a pedunculated tumour (black and white arrows), amidst the pleural effusion, originates from the right hemidiaphragm (small arrows) and extends posteriorly beyond the chest wall. (c) CT reveals a right basal thoracic mass with invasion of the right ninth rib.

 




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