EURORAD ESR

Case 14510

Pleural Synovial Sarcoma

Author(s)
Caroline D Lu1 , BS, Susan Taylor, DO1 , Supriya Gupta MD 1, Ravindra B Kolhe MD 2 , Jayanth H Keshavamurthy MD 1.

1120 15th street, BA-1411 30912 Augusta, United States of America; Email:jkeshavamurthy@augusta.edu

(1)Department of Radiology.
(2)Department of Pathology.
 
Patient
female, 33 year(s)
 
 
  • Figure 1
    CHEST X RAY

    Expiratory chest radiograph demonstrates a moderate to large left pleural effusion with superimposed consolidation, initially interpreted as pneumonia with parapneumonic effusion. There is also a rounded opacity in...

     
    Area of Interest: Lung; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    CT CHEST
     

    Coronal (A) and axial (b) non-contrasted chest CT images demonstrate a rounded posterior mediastinal mass with associated left pleural effusion and left lower lobe atelectasis.

     
    Area of Interest: Mediastinum; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Coronal (A) and axial (b) non-contrasted chest CT images demonstrate a rounded posterior mediastinal mass with associated left pleural effusion and left lower lobe atelectasis.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    Pathology Slides
     

    4X H&E images of pleural synovial sarcoma. Histologically, on the scanning power the lesion shows alveolar ling tissue with the sarcoma.

     
    Area of Interest: Respiratory system; Salivary glands; Imaging Technique: Percutaneous; Procedure: Biopsy; Special Focus: Neoplasia;

    20X H&E images of pleural synovial sarcoma. Histologically, on higher power the lesion show highly cellular spindle cells areas that are densely packed into an interwoven herringbone pattern.

     
    Area of Interest: Respiratory system; Imaging Technique: CT; Procedure: Biopsy; Special Focus: Neoplasia;
     
     
Expiratory chest radiograph demonstrates a moderate to large left pleural effusion with superimposed consolidation, initially interpreted as pneumonia with parapneumonic effusion. There is also a rounded opacity in the left suprahilar region, concerning for mass.
 
Coronal (A) and axial (b) non-contrasted chest CT images demonstrate a rounded posterior mediastinal mass with associated left pleural effusion and left lower lobe atelectasis.
 
Coronal (A) and axial (b) non-contrasted chest CT images demonstrate a rounded posterior mediastinal mass with associated left pleural effusion and left lower lobe atelectasis.
 
4X H&E images of pleural synovial sarcoma. Histologically, on the scanning power the lesion shows alveolar ling tissue with the sarcoma.
 
20X H&E images of pleural synovial sarcoma. Histologically, on higher power the lesion show highly cellular spindle cells areas that are densely packed into an interwoven herringbone pattern.
 
 
 
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