A 23-year-old man underwent a CT scan as part of the diagnostic workup following a hockey injury, presenting with dyspnea after the trauma. The scan revealed multiple thoracic nodules localized to the pleura, with the largest measuring 6,4 x 2,7 x 4,4 cm, located at the right lower lobe and extending towards mediastinum. Additional nodules were identified at the diaphragm and middle lobe. The clinical differential diagnosis included paraganglioma, neurofibroma, or possibly CPAM. Due to unsuccessful endoscopic FNAs, thoracoscopic surgery was performed with resection of the largest nodule. Intraoperatively, the nodule presented as a firm tumor measuring approximately 6 cm.

The CT-scan (Figure 1), macroscopic picture (Figure 2), representative histological images (Figures 3-5) and immunohistochemical stains (STAT6) are provided (Figure 6).

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