Author Affiliations: Department of Surgery, Bronx-Lebanon Hospital Center, Bronx, New York.
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).
Figure 1. A 57-year-old man with right anterior chest wall swelling.
A. Chest wall lipoma
B. Pectoralis major tendon rupture
C. Intercostal lung hernia
D. Delayed seroma
Sainathan S, Pugalenthi A, Danovich S, Fox S, Andaz S. Image of the Month—Quiz Case. Arch Surg. 2012;147(8):783. doi:10.1001/archsurg.2011.1276