Caceres’ Corner Case 111 (Update: Solution)


Dear Friends,

After the ECR, we all deserve an easy case. Showing routine control radiographs of a 51-year-old man operated on for synovial sarcoma of his right leg fourteen years ago.

Do you see any abnormality?

Check the images below, leave your thoughts in the comments section and come back on Friday for the answer.

PA chest

lateral chest

Click here for the answer to case #111

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    Mar 2015
    DISCUSSION 10 Comments

    10 Responses to : Caceres’ Corner Case 111 (Update: Solution)

    1. murzin says:

      Apical pnumothorax…

    2. Helene says:

      yes, is apical pneumothorax
      (and cervical rib)

    3. j.d. says:

      pleural based mass rigH apical region associated with pneumothorax. In this clinical context, synovial sarcoma mets complicated by pneumothorax until proven otherwise. For CT thorax and biopsy of the pleural mass.

    4. gus says:

      Apical pnumothorax and a mass in his arm.

    5. genchi Bari Italia says:

      …pneumotorace dx , da metastasi polmonare su pleurica….

    6. genchi Bari Italia says:

      …ma vi è’ anche pneumoperitoneo?

    7. Lola la Piconera says:

      Right apical neumothorax and extrapulmonary apical disease.

      My sugestión is that metastasis from a sinovial sarcoma should be ruled out even after 14 years. I remember a case with a solitary 18cm lung metastases from a sinovial sarcoma with pulmonary vein invasión having being free of disease for over 20 years in a man that was 35.

      • ula says:

        Patient might have developed soft tissue sarcoma of the right arm from radiation given to treat the very primary tumor. Average time between radiation and diagnosis could be about 10 years I think.