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Virtual Pediatric Hospital: Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease: Case 70 Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease: Case 70

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Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


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Bone window images from a chest CT exam from the day of diagnosis demonstrate a large spherical calcified left paravertebral mass measuring 12 x 11 x 8 cm in size. There is a pleural effusion and a shift of mediastinal structures to the right. The mass appears to extend via the retrocrural space into the abdomen causing displacement of the left kidney and inferior vena cava. The mass crosses the midline. Some minimal thoracic vertebral body remodeling and rib thinning is seen on the left. No spinal canal invasion or liver metastases are seen.

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