Soft tissue venous malformation - thorax

Case contributed by Dr Mohamed Samy

Presentation

Long-term left chest wall swelling.

Patient Data

Age: Young adult
Gender: Male
X-ray

Plain radiograph

Left chest wall soft tissue prominence containing multiple round punctate calcifications (phleboliths).

MRI

MRI chest with IV contrast

Left chest wall mass showing serpiginous altered signal, predominantly hyperintense on T2 & STIR WIs and hypointense on T1 WIs, with contrast uptake and punctate foci of low signal on all pulse sequences in keeping with calcification (phleboliths). The lesion shows no aggressive behavior.

Case Discussion

The differential diagnosis of this case is plexiform neurofibroma, but the presence of phleboliths is highly suggestive of venous malformation.

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Case information

rID: 61411
Published: 6th Jul 2018
Last edited: 8th Jul 2018
Inclusion in quiz mode: Included

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