Fatty mediastinal masses (differential)

Last revised by Francis Deng ◉ on 30 Dec 2020

Citation, DOI, disclosures and article data

Citation:

Gaillard F, Deng F, Shah V, et al. Fatty mediastinal masses (differential). Reference article, Radiopaedia.org (Accessed on 23 Mar 2025) https://doi.org/10.53347/rID-22333

DOI:

https://doi.org/10.53347/rID-22333

Permalink:

https://radiopaedia.org/articles/22333?embed_domain=external.radpair.com%27%5B0%5D

rID:

22333

Article created:

27 Mar 2013, Frank Gaillard ◉ ◈

Disclosures:

At the time the article was created Frank Gaillard had no recorded disclosures.

View Frank Gaillard's current disclosures

Last revised:

30 Dec 2020, Francis Deng ◉

Disclosures:

At the time the article was last revised Francis Deng had no recorded disclosures.

View Francis Deng's current disclosures

Revisions:

9 times, by 8 contributors - see full revision history and disclosures

Systems:

Chest

Sections:

Gamuts

Synonyms:

Fatty mediastinal masses
Fatty mediastinal lesions
Fatty mediastinal mass
Fatty mediastinal lesion
Fat containing mediastinal masses (differential diagnosis)
Fat containing mediastinal lesion

Fatty mediastinal masses are relatively uncommon, and the differential diagnosis is 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
neurofibroma can have fat attenuation on CT, however the fatty changes in neurofibroma are rarely observed.⁵