Palpable chest wall mass.
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Abnormal rarefaction and expansion of the left 6th rib accompanied by huge inta and extra thoracic soft tissue mass epicentered on the affected rib.
Mild to moderate left sided pleural effusion.
Two left axillary lymph nodes, the largest 15 mm.
Small pulmonary nodule at the lateral segment of the right lower lung lobe.
16 years old girl with palpable soft tissue mass on the left side of the chest wall anteriorly. CT of the chest shows expansion and rarefaction of the left 6 th rib accompanied by huge soft tissue mass, left axillary lymph nodes, left side pleural effusion as well as right pulmonary nodule.
CT findings together with the age group suggest Ewing sarcoma.