Citation, DOI, disclosures and article data
Citation:
Weerakkody Y, Ashraf A, Luong D, et al. Chest wall lipoma. Reference article, Radiopaedia.org (Accessed on 23 Apr 2024) https://doi.org/10.53347/rID-49801
Chest wall lipomas are benign fat containing thoracic lesions.
While they can occur at any age, they typically occur in older patients who are 50-70 years of age, and they are most frequent in those with increased body mass index.
They are well-circumscribed encapsulated masses composed of adipocytes that differ very little from normal fatty tissue. Most lipomas that originate in the chest wall are deep lipomas, which tend to be larger and less well-circumscribed than superficial lesions.
CT
Follows homogeneous fat attenuation in general. However, multiple thin septa often are present that appear slightly enhanced on CT scans.
MRI
Lipomas generally appear to be internally homogeneous and do not enhance after intravenous contrast material administration. They typically follow fat signal on all sequences.
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T1: can have high signal
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T1 fat sat: shows fat suppression and has low signal intensity
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