Parietal pleural lipoma

Case contributed by Dr Domenico Nicoletti

Patient Data

Age: 45 years
Gender: Male
X-ray

Chest

Chest radiography showed a homogeneous subpleural rounded shadow at the right upper lobe.

CT

Chest

CT revealed a well-circumscribed lesion with mean attenuation value -115 HU, in contact with the posterior third rib arc and at an obtuse angle with the chest wall.

Case Discussion

Pleural lipomas originate from the submesothelial parietal pleura and extend into the subpleural, pleura, or extrapleural space. Most patients are asymptomatic and the tumor is usually discovered incidentally on chest radiography. CT allows a definitive diagnosis when the mass demonstrates a homogeneous fat attenuation (-50 to -150 HU).

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Case information

rID: 27236
Published: 24th Jan 2014
Last edited: 27th Nov 2019
System: Chest
Inclusion in quiz mode: Included

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