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PANEL A:
A right pleural effusion was seen on multiple imaging studies over time
An axial fast spinecho T2-weighted MRI scan of the right breast:
o obtained with the patient in the prone position 14 years before the
current presentation:
o shows a right pleural effusion (arrow)in the anterior (dependent) right
hemithorax.
PANEL B:
An axial contrast-enhanced CT scan of the midthorax:
o shows persistence of the right pleural effusion (arrow)
PANEL C
There is no abnormal pleural enhancement or nodularity and no evidence
of cancer in the lungs.
Several subcentimeter pulmonary nodules (not shown) have long-term
stability (>5 years) and therefore are considered to be benign.
A radiograph of the chest, obtained with the patient in the right lateral
decubitus position during follow-up:
o shows continued persistence of the small right pleural effusion, which
is seen layering and extending into the minor fissure (arrow).