A 29 year old man with a history of deafness presents with a self terminating seizure.
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Describe and interpret this CXR and CT chest
There is a large rounded pleural based opacity in the right upper zone of the chest.
*There is also increased opacity in the right lung apex, behind the clavicle
CT Chest Interpretation:
CT chest demonstrates a large heterogeneous pleural based mass in the right hemithorax.
There is no mediastinal adenopathy.
MRI brain demonstrated multiple meningiomas and bilateral acoustic neuromas.
*This is neurofibromatosis type II
*The lesions on the CXR are large schwannomas
Large peripheral schwannomas are unusual features of NF type II