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Solitary Fibrous Tumor of the Pleura

Imaging findings

Chest radiograph and CT chest show a large, well-circumscribed, lobulated mass in the left hemithorax with coarse internal calcification, shaggy areas of low attenuation, and an associated left pleural effusion. Pathology confirmed a benign solitary fibrous tumor of the pleura.

Key takeaways

Solitary fibrous tumor of the pleura (SFTP) is a mesenchymal neoplasm. Although typically benign, features such as large size, shaggy low attenuation (necrosis/cystic degeneration), and the presence of a pleural effusion can raise concern for malignancy. Complete surgical resection is curative for benign SFTP.

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