Extrapleural fat is a benign condition and refers to relative diffuse deposition of fat outside the parietal pleura. It can occur in various locations but typically occurs along the chest wall. It is a component of the loose connective tissue of the endothoracic fascia and is most abundant along the posterolateral aspects of the 4th through to 8th ribs bilaterally. On plain film, the resulting soft-tissue shadow that is produced can be confused with pleural thickening or pleural plaques.
- 1. Fisher ER, Godwin JD. Extrapleural fat collections: pseudotumors and other confusing manifestations. AJR Am J Roentgenol. 1993;161 (1): 47-52. doi:10.2214/ajr.161.1.8517319 - Pubmed citation
- 2. Gaerte SC, Meyer CA, Winer-Muram HT et-al. Fat-containing lesions of the chest. Radiographics. 2002;22 Spec No (suppl 1): S61-78. Radiographics (full text) - Pubmed citation
- 3. Molinari F, Bankier AA, Eisenberg RL. Fat-containing lesions in adult thoracic imaging. AJR Am J Roentgenol. 2011;197 (5): W795-813. doi:10.2214/AJR.11.6932 - Pubmed citation
- 4. Alfudhili KM, Lynch DA, Laurent F et-al. Focal pleural thickening mimicking pleural plaques on chest computed tomography: tips and tricks. The British journal of radiology. 89 (1057): 20150792. doi:10.1259/bjr.20150792 - Pubmed
- 5. Santamarina MG, Beddings I, Lermanda Holmgren GV et-al. Multidetector CT for Evaluation of the Extrapleural Space. (2017) Radiographics : a review publication of the Radiological Society of North America, Inc. 37 (5): 1352-1370. doi:10.1148/rg.2017160180 - Pubmed