Fatty mediastinal masses (differential)

Changed by Yuranga Weerakkody, 26 Feb 2016

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Fatty mediastinal masses are relatively uncommon, and the differential diagnosis is brief brief, including 1-4:

  • lipoma
  • liposarcoma
  • thymolipoma
  • benign mature teratoma
  • lipoblastoma
  • extravasation of lipid-rich hyperalimentation fluid 3
  • fibrofatty replacement of the central portion of mediastinal lymph nodes can be seen as the sequelae of previous inflammatory disease 3
  • pulmonary hamartoma may abut the mediastinum
  • neurofibromacan have fat attenuation on CT, however the fatty changes in neurofibroma are rarely observed.5

Additionally a number of conditions can result in accumulation or herniation of normal fat into the mediastinum, mimicking a a mass.

See also

  • -<p><strong>Fatty mediastinal masses </strong>are relatively uncommon, and the differential diagnosis is brief, including <sup>1-4</sup>:</p><ul>
  • +<p><strong>Fatty mediastinal masses </strong>are relatively uncommon, and the differential diagnosis is brief, including <sup>1-4</sup>:</p><ul>
  • -<a href="/articles/neurofibroma">neurofibroma </a>can have fat attenuation on CT, however the fatty changes in neurofibroma are rarely observed.<sup>5</sup>
  • +<a href="/articles/neurofibroma">neurofibroma </a>can have fat attenuation on CT, however the fatty changes in neurofibroma are rarely observed.<sup>5</sup>
  • -</ul><p>Additionally a number of conditions can result in accumulation or herniation of normal fat into the mediastinum, mimicking a mass.</p><ul>
  • +</ul><p>Additionally a number of conditions can result in accumulation or herniation of normal fat into the mediastinum, mimicking a mass.</p><ul>
  • -</ul>
  • +</ul><h4>See also</h4><ul><li><a href="/articles/fat-containing-thoracic-lesions">fat containing intrathoracic lesions</a></li></ul>
Images Changes:

Image 3 CT (C+ arterial phase) ( update )

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Case 3: mediastinal liposarcoma

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