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The most likely diagnosis in the afebrile patient in Fig. 2.1 is:
Neurofibroma.
Lipoma.
Multiple myeloma.
Osteosarcoma.
Chondrosarcoma.
The most likely diagnosis in Fig. 2.2 is:
Ewing sarcoma.
Osteosarcoma.
Chondrosarcoma.
Metastatic lung cancer.
Plasmacytoma.
_____ Chest wall lesions may sometimes be distinguished from pulmonary nodules by identification of an incomplete border.
_____ Lipoma is a common chest wall lesion.
Neurofibroma of an intercostal nerve will probably cause rib destruction.
_____ Rib detail views or computed tomography (CT) scans are rarely needed to identify the rib destruction of a primary bone tumor in the chest wall.
_____ Metastases and multiple myeloma are among the most common causes of a chest wall mass with associated rib destruction in an adult.
_____ Ewing tumor and neuroblastoma should be considered when a chest wall mass is observed in a child or young adult.
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