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Chest wall chondrosarcoma

Imaging findings

Chest radiograph and CT scan demonstrate a large, lobulated dumbbell-shaped mass centered on the anterior left rib cartilage, showing extensive chondroid matrix calcification, extending both into the subcutaneous fat and deep into the anterior mediastinum/pericardium.

Key takeaways

Chondrosarcoma is the most common primary malignant tumor of the chest wall. They typically arise from the anterior chest wall associated with costochondral cartilage, and resection with wide margins (potentially including adjacent pericardium) is required.

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