Presentation
Incidental finding on a chest radiograph for investigation before surgery.
Patient Data
Age: 65 years
Gender: Male
From the case:
Intercostal muscle lipoma
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Info
RX chest
Small, barely noticeable, right axillary extrapleural opacity.
From the case:
Intercostal muscle lipoma
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Info
Chest CT with contrast
Lipoma of the fourth right intercostal muscle.
Case Discussion
The superficial lipomas are palpable, compressible masses in the soft tissues, not adherent to the overlying skin.
Association between lipomas and traumas has been reported.
Rare malignant transformation of lipoma into liposarcoma.
However, the presence of an intramuscular lipoma is a risk factor for malignancy, more so in the deep musculature.
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