Toddler with weight loss and respiratory distress

Surgery image of thoracic neuroblastoma
Surgical image taken through a left thoracoabdominal incision shows a large tumor adherent posteriorly to the chest wall and spine. The lungs are superior to the tumor. The tumor was seen to be entering the tenth through twelfth neural foramina. The tumor was also adherent to the diaphragm and could be felt going through the diaphragm into the retroperitoneum. The tumor was resected in block.

The diagnosis was thoracic neuroblastoma.