Abstract
Case summary A previously healthy 46-year-old male presented with right-sided pleuritic chest pain for 2 weeks. He had no other symptoms such as febrile, cough, hemoptysis or dyspnea. He had no underlying disease and no history of cancer in his family. He reported no smoking and no alcohol drinking. On physical examination revealed normal heart and lung sounds. His vital signs showed body temperature of 36.6°C, blood pressure of 128/83 mmHg, pulse rate of 90/minute, respiratory rate of 24/minute and 98% oxygen saturation. Laboratory tests showed normal hemoglobin level, normal renal function and unremarkable liver function. White blood cell count was normal. Chest radiography and enhanced chest computerized tomography (CT) scan showed a large pleural-based mass in the right side of the chest. The patient underwent pleural biopsy via transthoracic needle biopsy (TTNB) on 11 January, 2018. Pathological findings for pleural specimens were consistent with thymoma. Bone scan was done on 16 January, 2018 showing no evidence of bone metastasis.Anutida Limsuknirun, M.D.From The Department of Radiology,Faculty of Medicine, Prince of Songkla University, Songkhla, ThailandAddress correspondence to A.L. (e-mail: anutida.limsuknirun@gmail.com)
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