EURORAD ESR

Case 10698

Giant fibrous tumor of the pleura

Author(s)
Tzeliou V, Karvelis A, Rotziokos I, Tsemianidou-Kougioumtzidou M, Marmareli P

General Hospital Kastoria Greece,
Radiology; Ath.Diaku 28
52100 Kastoria, Greece;
Email:ldmar65@yahoo.com
 
Patient
male, 40 year(s)
 
 
  • Figure 1
    CXR - Scout image

    A huge mass, with an obtuse angle to the lower thoracic wall, is seen in the left hemithorax. There is some degree of mediastinal deviation to the right.

     
    Area of Interest: Thoracic wall; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    Unenhanced chest CT
     

    Figures 2a -2d show an almost uniform soft tissue mass in the left hemithorax.

     
    Area of Interest: Thoracic wall; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Central low attenuation areas (probably due to necrosis-degeneration) (fig 2b), as well as central areas of calcification (fig 2c) are present.

     
    Area of Interest: Thoracic wall; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Central low attenuation areas (probably due to necrosis-degeneration) (fig 2b), as well as central areas of calcification (fig 2c) are present.

     
    Area of Interest: Thoracic wall; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    An obtuse angle is created between the lower part of the mass and the thoracic wall.

     
    Area of Interest: Thoracic wall; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    Coronal reformat on lung windows

    A giant (approximately 18.8 x 14.5 x 11 cm), well defined soft tissue mass in the left hemithorax is shown on coronal reformat.

     
    Area of Interest: Thoracic wall; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 4
    Enhanced chest CT
     

    The mass demonstrates inhomogeneous enhancment after IV contrast administration.

     
    Area of Interest: Thoracic wall; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    The mass demonstrates inhomogeneous enhancment after IV contrast administration.

     
    Area of Interest: Thoracic wall; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    The mass demonstrates inhomogeneous enhancment after IV contrast administration.

     
    Area of Interest: Thoracic wall; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    The mass demonstrates inhomogeneous enhancment after IV contrast administration.

     
    Area of Interest: Thoracic wall; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    The mass demonstrates inhomogeneous enhancment after IV contrast administration.

     
    Area of Interest: Thoracic wall; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    The mass demonstrates inhomogeneous enhancment after IV contrast administration.

     
    Area of Interest: Thoracic wall; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    The mass demonstrates inhomogeneous enhancment after IV contrast administration.

     
    Area of Interest: Thoracic wall; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    The mass demonstrates inhomogeneous enhancment after IV contrast administration.

     
    Area of Interest: Thoracic wall; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 5
    Post-operative
     

    Post-operative scout image - 3 months after surgical excision. There is no evidence of recurrence.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Coronal post-operative image - 3 months after surgical excision. There is no evidence of recurrence. Linear post-operative fibrous bands are seen in the lung parenchyma, adjacent to the area of surgical excision.

     
    Area of Interest: Thoracic wall; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
A huge mass, with an obtuse angle to the lower thoracic wall, is seen in the left hemithorax. There is some degree of mediastinal deviation to the right.
 
Figures 2a -2d show an almost uniform soft tissue mass in the left hemithorax.
 
Central low attenuation areas (probably due to necrosis-degeneration) (fig 2b), as well as central areas of calcification (fig 2c) are present.
 
Central low attenuation areas (probably due to necrosis-degeneration) (fig 2b), as well as central areas of calcification (fig 2c) are present.
 
An obtuse angle is created between the lower part of the mass and the thoracic wall.
 
A giant (approximately 18.8 x 14.5 x 11 cm), well defined soft tissue mass in the left hemithorax is shown on coronal reformat.
 
The mass demonstrates inhomogeneous enhancment after IV contrast administration.
 
The mass demonstrates inhomogeneous enhancment after IV contrast administration.
 
The mass demonstrates inhomogeneous enhancment after IV contrast administration.
 
The mass demonstrates inhomogeneous enhancment after IV contrast administration.
 
The mass demonstrates inhomogeneous enhancment after IV contrast administration.
 
The mass demonstrates inhomogeneous enhancment after IV contrast administration.
 
The mass demonstrates inhomogeneous enhancment after IV contrast administration.
 
The mass demonstrates inhomogeneous enhancment after IV contrast administration.
 
Post-operative scout image - 3 months after surgical excision. There is no evidence of recurrence.
 
Coronal post-operative image - 3 months after surgical excision. There is no evidence of recurrence. Linear post-operative fibrous bands are seen in the lung parenchyma, adjacent to the area of surgical excision.
 
 
 
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