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August 18, 1969, Vol 209, No. 7 >
ARTICLE | August 18, 1969

Enigmatic Chest Mass

Richard M. Heller, MD
JAMA. 1969;209(7):1078-1079. doi:10.1001/jama.1969.03160200042013.
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Dr. Robert F. Rider: This is the first hospital admission for this 36-year-old white, married man who complained of chest pain which had been present for 2 1/2 months and had recently become worse. He described the pain as arising from the anterior portion of the chest wall, traversing the thorax, and ending in the right scapular region. Movement of the scapular muscles and pressure on the right side of the chest wall accentuated the pain. The results of physical examination were normal; examination of the chest revealed no abnormalities. Results of laboratory tests were within normal limits. Chest roentgenograms taken at the time of admission revealed a mass (Figure). His temperature while in the hospital was persistently between 100 and 100.4 F (37.8 and 38 C).

Discussion  Dr. Laurence L. Robbins: Dr. Goodman, do you think this mass arises in the lung?Dr. Derek J. Goodman: I am not

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