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