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Apical schwannoma

Imaging findings

Scout CT and chest CT show a large, smooth, well-defined mass in the left lung apex showing uniform low attenuation. The mass extends into the adjacent intervertebral foramen, which was successfully resected via a combined neurosurgical and thoracic approach.

Key takeaways

Apical schwannomas are benign neurogenic tumors arising from the nerve sheath of intercostal nerves or sympathetic chain. They characteristically present as smooth masses in the lung apex and can extend into the neural foramen, requiring a coordinated surgical resection.

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