qClinical History:

   A 53 year old man was seen for right-sided chest pain and shortness of breath. A chest  X-ray showed a right pleural effusion with consolidation of the right lower lobe of lung. CT scan showed a mass extensively infiltrating  the diaphragmatic and costal margin of the pleura. A core needle biopsy was performed that was signed-out as a “high-grade malignant spindle cell neoplasm suspicious for spindle cell sarcoma”. The patient continued to deteriorate and a right extrapleural pneumonectomy was eventually carried out.