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Case presentation A 50-year-old lady presented to the emergency department with a history of right shoulder pain for 4 days. Right shoulder X-ray was done and showed a mediastinal mass at the edge of the film (Figure 1A). The patient had other associated symptoms, including fatigue, dyspnea on exertion, dizziness and weight loss of 10 kg over 1 year. She noticed a growing abdominal mass over the past few months but didn't seek any medical advice.
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