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Case of the Week 500


What is the most likely diagnosis?

  • 62 year-old with emphysema



Frontal Chest Radiograph with Close-Up

  1. Actinomycosis
  2. Apical Pleural Cap
  3. Old Tuberculosis
  4. Metastasis
  5. Pleural Lipoma

Additional Image-Axial Chest CT with Coronal Reconstruction

 

Additional Images

 

Axial Chest CT with Coronal Reconstruction
(Pay no attention to the subcutaneous emphysema and chest tube)


Answer:

 

5. Pleural Lipoma

 

More (Click Discussion Tab)

 

 

Pleural Lipoma

General Considerations

  • Most common benign soft tissue tumors of the pleura
  • Believed to originate in the parietal pleura extending into the subpleural, pleural, or extrapleural space
  • Slow-growing, encapsulated
  • May become quite large

 

MORE . . .

 


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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.