What is the most likely diagnosis?
- 62 year-old with emphysema
Frontal Chest Radiograph with Close-Up
- Actinomycosis
- Apical Pleural Cap
- Old Tuberculosis
- Metastasis
- 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
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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