Chest Wall Myofibroblastic Sarcoma - VATS
A Chest Wall malignant myofibroblastic Sarcoma, rapidly progressing, was presented as an incidental radiologic finding in a completely Asymptomatic 21-yo male smoker (a fit athlete)

IMAGES 1-2: Pre-op CXRs of the asymptomatic patient upon his admission.

IMAGE 3: No abnormality had been detected on another CXR, taken 14 months prior to admission

IMAGES 4-5: Pre-op CT (Computed axial Tomography) scans

IMAGES 6-9: Pre-Op MRI (Magnetic Resonance Imaging) scans

IMAGES 10-12: Intra-operative photographs of the intrathoracic tumour (VATS), then during the radical resectional procedure (Chest Wall Resection) and, finally, of the specimen resected.
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1. Preop CXR (posteroanterior) upon admission

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2. Preop CXR (lateral) upon admission

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3. No abnormality detected on CXR 14 months prior to admission

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4. Preop CT scan (cyan arrows: the contact between the tumour & the 3rd rib)

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5. Preop CT scan

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6. Preop MRI scan (coronal view; cyan arrows: the contact between the tumour & the 3rd rib)

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7. Preop MRI scan (sagittal view; cyan arrows: the contact between the tumour & the 3rd rib)

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8. Preop MRI scan (sagittal view)

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9. Preop MRI scan (axial view; cyan arrows: the contact between the tumour & the 3rd rib)

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10. Intraop photo: the tumour's margins are found by VATS, then marked (by № 21 G needles)

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11. Intraop photo of the redical resectional procedure (Chest Wall Resection)

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12. The finally resected specimen of the tumour along with its overlying muscular & skin tissues involved.