Integrated diagnostic imaging of primary thoracic rhabdomyosarcoma

We report a rare case of primary thoracic rhabdomyosarcoma in a girl who wa s referred with acute chest pain, hacking cough, and wheezing. A chest X-ra y revealed a complete opacity of the right hemithorax. Ultrasound revealed a right-sided pleural effusion and a solid mass above the liver dome, sugge sting a neoplastic disease, which quickly led to further specific examinati on. Use of CT and MRI together with bone scintigraphy completed the investi gation. The biopsy specimen showed a pattern of alveolar rhabdomyosarcoma. This case was reported to emphasize the role of US in the evaluation of a c hild with hemithorax opacity.