EURORAD ESR

Case 12770

Incidental pleural lipoma in a case of calculous cholecystitis

Author(s)
Sanjay Kumar P., Rishi Philip Mathew, Tessa Jose, Ram Shenoy Basti, Hadihally B. Suresh

Father Muller Medical College,
Father Muller Charitable Institutions,
Department of Radio-Diagnosis;
Father Muller Road
575002 Mangalore, India;
Email:dr_rishimathew@yahoo.com
 
Patient
male, 54 year(s)
 
 
  • Figure 1
    Ultrasound abdomen

    Distended gall bladder showing multiple 6-7 mm calculi.

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;
     
     
  • Figure 2
    Chest radiograph (PA View)

    PA chest radiograph showed a radio-opaque lesion in the right midzone which made an obtuse angle with the chest wall. Adjacent ribs were normal.

     
    Area of Interest: Respiratory system; Imaging Technique: Digital radiography; Procedure: Screening; Special Focus: Neoplasia;
     
     
  • Figure 3
    Chest CT (plain & post-contrast)
     

    Plain CT (axial section) showed a pleural-based fat density lesion measuring approx. 4.7 x 3 cm with HU value= -109.

     
    Area of Interest: Respiratory system; Imaging Technique: CT; Procedure: Screening; Special Focus: Neoplasia;

    On post-contrast chest CT (axial sections) the pleural-based fat density lesion showed no enhancement with HU value remaining -109.

     
    Area of Interest: Respiratory system; Imaging Technique: CT; Procedure: Screening; Special Focus: Neoplasia;
     
     
  • Figure 4
    Post-contrast CT (coronal section)
     

    Coronal CT of chest showing a right pleural-based fat density lesion.

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

    Sagittal CT of chest showing a right pleural-based fat density lesion.

     
    Area of Interest: Respiratory system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
Distended gall bladder showing multiple 6-7 mm calculi.
 
PA chest radiograph showed a radio-opaque lesion in the right midzone which made an obtuse angle with the chest wall. Adjacent ribs were normal.
 
Plain CT (axial section) showed a pleural-based fat density lesion measuring approx. 4.7 x 3 cm with HU value= -109.
 
On post-contrast chest CT (axial sections) the pleural-based fat density lesion showed no enhancement with HU value remaining -109.
 
Coronal CT of chest showing a right pleural-based fat density lesion.
 
Sagittal CT of chest showing a right pleural-based fat density lesion.
 
 
 
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