We present the case of a 65-year-old man with dyspnea and chest discomfort referred for dipyridamole myocardial perfusion scintigraphy. 99mTc-sestamibi cardiac gated SPECT images showed an irreversible hypoperfusion in the mid-ventricular portion of anteroseptal wall, a suspicious reversible hypoperfusion in the apical slices of inferolateral wall, and left ventricle dilatation with a ejection ...

The post-pneumonectomy syndrome is a rare complication consisting of rotation and herniation of the mediastinal structures, the remaining lung and the respective bronchi, into the contralateral hemithorax. This situation may produce symptomatic airway obstruction and varies in its presentation and severity. We describe one case of right and one of left pneumonectomy syndrome as well as one case...

Most patients with hypertrophic cardiomyopathy (HCM) have asymmetric septal hypertrophy; and among them, 25% present dynamic left ventricular outflow tract obstruction. Apical HCM is unusual. Echocardiography has been the first imaging method for patients with suspected HCM, but its shortcomings in evaluating the apex are well known. We present a 56-year-old woman with a history of left hemitho...

Epithelioid hemangioendothelioma (EH) is a rare benign vascular tumor, which typically present as multinodular lesions that can involve one organ or more. We report a 12 years old female who presented with one-year history of progressive intolerance to physical activity and 3 months history of dry cough and weight loss. Physical examination was positive for diminished breath sounds and crackles...

Mesenchymal soft tissue masses are uncommon tumours of the chest. Myofibroblastoma is a recently described entity consisting of cells with origin from the myoepethelial cell, mostly seen as benign well-circumscribed neoplasms of the breast tissue. Though usually classified as a benign lesion, rarely it can be multifocal and prone to recurrence. We describe below the case of a 26-year-old female...

Thymolipomas are rare tumors of the anterior mediastinum containing both thymic stroma and an abundance of fat. We present a 40-year-old man with no underlying disease who presented with cough and progressive dyspnea. Clinical evaluation revealed a giant mass of lipid density filling almost the entire left hemithorax with mediastinal shift. Total excision of the 40 × 33 × 8 cm mass weighing 4 k...

Considerable interest has been shown in recent years in the relative distributions of alveolar blood and gas flows under various conditions. During thoracic surgical procedures in the lateral position, with one hemithorax open and with controlled ventilation of the lungs, a severe degree of maldistribution of blood and gas may be expected. The upper lung may be freely expanded, retracted by the...

Purpose: Tuberculosis can be responsible for extensive spinal lesions. Despite the efficacy of medical treatment surgery is indicated to avoid or correct significant deformity, instability and neurological involvement. The authors present a clinical case of total dorsal spine involvement with posterior and anterior major abscess, discussing the management options and outcome obtained. Clinical ...

Extralobar sequestration with other bronchopulmonary malformations is commonly seen; however, the association of extralobar sequestration with renal aplasia is very rare. A 75-year-old female patient was admitted with back pain. Ultrasonography revealed aplasia of the left kidney and tomography showed 6 × 4.5 cm sized tumor in the left hemithorax at the posterobasal area. The lesion has focally...

To cite: Marchiori E, Rodrigues RS, Reis MCM, et al. Thorax 2014;69:395. CASE PRESENTATION A 58-year-old woman underwent chest CT to monitor a colonic tumour diagnosed 1 year previously. Axial and coronal CT images showed multiple well-circumscribed pleural-based nodules in the left lower hemithorax, and the absence of the spleen in the left upper quadrant (figure 1). Routine blood work demonst...