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OpenAthens Shibboleth
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Special Feature
August 2012

Image of the Month—Quiz Case

Author Affiliations

Author Affiliations: Department of Surgery, Bronx-Lebanon Hospital Center, Bronx, New York.

Arch Surg. 2012;147(8):783. doi:10.1001/archsurg.2011.1276

A 57-year-old man presented with anterior chest wall swelling 4 months after a video-assisted thoracic surgery wedge resection of a 2.5-cm benign mass in the right upper lobe. The swelling was associated with mild chest discomfort that worsened with coughing. Physical examination revealed soft, nontender swelling that was well demarcated on the right anterior chest wall in the anterior axillary line and was associated with a cough impulse (Figure 1).

Image not available

Figure 1. A 57-year-old man with right anterior chest wall swelling.

What Is the Diagnosis?

A.  Chest wall lipoma

B.  Pectoralis major tendon rupture

C.  Intercostal lung hernia

D.  Delayed seroma