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Solitary fibrous tumours of the pleura (SFTPs) are rare and roughly 80% of them have a benign course. Malignant SFTPs are seldom reported, as are their computed tomography (CT) manifestations. We report the case of a 45-year old male patient who presented with coughing for over 2 months. A large lesion in his right hemithorax was found by chest X-ray. CT scan showed patchy areas and a sharp time-attenuation curve. CT angiography reconstruction revealed a distinct feeding vessel from celiac trunk. After surgery, the tumour was confirmed to be a malignant SFTP by immunochemistry.

Computed tomography manifestations of a malignant solitary fibrous tumour of the pleura with distinct blood supply from celiac trunk