Intercostal muscle lipoma

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Incidental finding.

Patient Data

Age: 85 years
Gender: Female
ct

Well-defined intramuscular lesion of fatty density within the intercostal muscle in the left 2nd intercostal space with no calcification or septation. Normal aspect of the adjacent 2nd and 3rd ribs.

Annotated image

Annotated image showing the mean density of the fatty lesion (-126 HU).

Case Discussion

CT features of an intramuscular lipoma within intercostal muscles.

 Intramuscular lipomas of the chest wall are rare as compared to the superficial lipomas and they should be removed due to their potential for malignancy 1.

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