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Chest Wall Swelling

Chest Wall Swelling

  • 65-year-old patient presented with lower left chest wall swelling since childhood.
  • Figure 1. Scanogram shows left lower chest wall mass.
  • Figure 2. Mass in left lower chest wall with few calcifications.
  • Figure 3. Multiple splenic cysts.
  • Figure 4. Mass showing enhancing tortuous vessels.
  • Figure 5. Mass showing enhancing tortuous vessels.
  • CT scan shows mass involving lower chest wall with areas of soft tissue density and fat.
  • Differential considerations for a mass involving the chest wall include hemangioma, infection, plasmacytoma or primary bone tumor, and soft-tissue masses such as lipoma, liposarcoma, neurogenic or desmoid tumor, and elastofibroma dorsi.
  • Cutaneous hemangiomas are identified at physical examination and rarely require imaging to establish a diagnosis.
  • The soft-tissue hemangioma in this patient was an intramuscular hemangioma of the left lateral chest wall.
  • Even less common are hemangiomas that occur in the chest wall.
  • Phleboliths are the only conventional radiographic finding helpful in diagnosing soft-tissue hemangioma, and these should be carefully searched for in every patient.
  • CT plays a role in the evaluation of the effect of deep soft-tissue hemangiomas on adjacent osseous structures.
  • Typically, T1-weighted MR images demonstrate a soft-tissue mass of intermediate signal intensity with interspersed areas of high signal intensity that can appear lacy and correspond to areas of fatty proliferation.
  • This patient underwent complete excision of the hemangioma in the left chest wall, and he remains healthy and without evidence of local recurrence three years later.

Case History: 65-year-old patient presented with lower left chest wall swelling since childhood.

Comments

M

shyam @

perhaps the spleen also has hemangiomas?

susan @

perhaps the spleen also has hemangiomas?

susan @

Conjenital deformity

Ali @

s

Joanne @

Desmoid

ronnie @

Desmoid

ronnie @

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