Oleothorax

Case contributed by Dr Eric F Greif

Presentation

History of treatment for pulmonary tuberculosis.

Patient Data

Age: 90 years
Gender: Female
X-ray

Large, teardrop shaped, peripherally calcified mass projects over the right upper lung.

CT

There is an elliptical fat-containing pleural based mass with peripheral calcifications in the superior aspect of the right oblique fissure. Calcified granuloma of the lateral inferior right lower lobe.  

Small bilateral pleural effusions. Cardiomegaly. findings suggesting pulmonary hypertension. Compression fracture of T12. Hiatal hernia. Partially imaging right renal cystic appearing lesion.

Case Discussion

This peripherally calcified, teardrop or elliptical shaped, fat attenuating lesion situated in the superior aspect of the right oblique fissure, has been unchanged on many prior imaging studies (not shown) dating back 10 years. Patient has a history of therapy for pulmonary tuberculosis many years prior. These finding and history are consistent with oleothorax.

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Case information

rID: 53909
Case created: 13th Jun 2017
Last edited: 15th Jun 2017
System: Chest
Inclusion in quiz mode: Included

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