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Case of the Week 601




What is the most likely diagnosis?

  • 51 year-old woman with chest pain



Enhanced Axial CT of Chest-Lung Window

  1. Lipoma
  2. Pseudotumor
  3. Lymphoma
  4. Localized Fibrous Tumor of Pleura
  5. Hamartoma

Additional Image - Enhanced Axial CT of Chest-Mediastinal Window

 

Additional Images

 

Enhanced Axial CT of Chest-Mediastinal Window


Answer:


4. Localized Fibrous Tumor of Pleura

 

More (Click Discussion Tab)


 

Localized Fibrous Tumor of Pleura

 

General Considerations

  • Rare, mesenchymal primary tumors of the visceral pleura less common than diffuse malignant mesothelioma
  • Localized form is less common and not related to asbestos exposure or smoking
  • LFTP can be either benign or malignant but is much more often benign (7:1)
  • Usually patients are >50 years old
  • Most occur in the inferior portions of the hemithoraces

MORE . . .


.

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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.