Case #3

Clinical History :

19 years old male patient with history of SOB.

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Findings:

There is a faint left lower lobe retrocardiac opacity (red arrows) associated left plural effusion ( yellow arrow).

Left pigtail (blue arrow).

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Enhanced chest CT scan was performed

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FINDINGS

There is tabulated highly vascularized left para-spinal mass( red arrow) showing heterogeneous peripheral enhancement with necrosis and a focus of calcification centrally ( blue arrow). There is large feeding vessels ( green arrow) connecting to a very large aneurysmally dilated para-spinal vessel ( orange and white arrows). No intraspinal extension. 

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Final diagnosis :

Neuroendocrine tumor.

* Recommendations:


http://pubs.rsna.org/doi/full/10.1148/rg.273065136

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3579993/