Giant pericardial lipoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Chest pain

Patient Data

Age: 75 years
Gender: Male
ct

11 × 6.8 cm slight heterogeneous fat density well-defined mass in left hemithorax, anterolateral to the heart. 

Several band-like fibrotic/atelectatic opacities are scattered in both lungs especially lower lobes. Few small subpleural nodules bilaterally which seem to be fibrotic nodules.

In imaged portions of the upper abdomen, several well-defined hypodense liver lesions, most likely cysts. Degenerative changes of thoracic spine.

Case Discussion

Features on CT scan are most consistent with giant pericardial lipoma

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