Presentation
This patient presented to the ED with nonspecific abdominal pain.
Patient Data
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Erect CXR to look for free gas under the diaphragm
No free gas under the diaphragm. In the right midzone, there is a sharply circumscribed peripheral lesion forming obtuse angles with the chest wall. Lungs are clear. Visible bones appear normal.
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Performed to investigate the lesion seen on chest radiograph (considered incidental).
There is a non-enhancing fat attenuation pleural based lesion in the right posterolateral hemithorax. The lungs are otherwise normal in appearance and there is no pneumoperitoneum.
Findings are in keeping with a pleural lipoma.
Case Discussion
As is usually the case, this pleural lipoma was incidentally found on chest radiograph.
No follow up was recommended.