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An 8-year-old boy had a right pneumonectomy performed for a large inflammatory pseudotumor. Over the subsequent 8 years he developed multiple similar lesions in the meninges and bilateral cerebral hemispheres as well as new growths within the ipsilateral pleural cavity and contralateral lung. Metachronous pulmonary and intracranial inflammatory pseudotumor has been reported only once. These lesions probably represent a multifocal, exaggerated inflammatory response to some as yet unidentified stimuli.

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