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Pleuropulmonary blastoma presented in a 4-year-old girl with respiratory symptoms. A,B. The entire left thoracic cavity is occupied by a 15 × 9.5 × 9.7 cm. heterogeneous enhancing mass which has crossed the midline. Mass effect on the descending intrathoracic aorta, heart and left hemidiaphragm has occurred. This appearance is typical of type II or type III PPB. Both rhabdomyoblastic and chondroid elements were seen in the biopsy.
