EURORAD ESR

Case 15189

Intrathoracic Lipoma

Author(s)
Emanuele Neri, Alessandra Bulleri, Virna Zampa, Silvia Monastero, Benedetta Favati

AOUP Pisa, Università di Pisa; Via Paradisa, 2 56124 Pisa, Italy; Email:bene.favati@gmail.com
 
Patient
female, 45 year(s)
 
 
  • Figure 1
    Chest X-ray
     

    The PA projection of Chest RX shows a widening of the mediastinal para-oesophageal line, in the lower left part.

     
    Area of Interest: Mediastinum; Imaging Technique: Digital radiography; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    The LL projection shows a bulging of the retrocardiac space, with a presence of opacity with density of soft tissues.

     
    Area of Interest: Mediastinum; Imaging Technique: Digital radiography; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    Chest CT

    The Chest TC shows the presence of tissue with a density of -100 / -110 HU and subtle hyperdense septa in its interior.

     
    Area of Interest: Mediastinum; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    Double MDC Oesophagus X-ray

    A double MDC oesophagus RX shows a hypotonic and hypokinetic oesophagus in absence of compression phenomena.

     
    Area of Interest: Mediastinum; Imaging Technique: Fluoroscopy; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 4
    Chest MR

    The Chest RM (RM Ax 3D) confirms the presence of intrathoracic lipoma.

     
    Area of Interest: Mediastinum; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 5
    Chest MR

    RM Cor T2W: intrathoracic lipoma is extended from the plane passing through pulmonary trunk to the diaphragmatic hiatus.

     
    Area of Interest: Mediastinum; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 6
    Chest MR

    The sagittal projection shows that the mass is well-clotted by the mediastinal organs.

     
    Area of Interest: Mediastinum; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
The PA projection of Chest RX shows a widening of the mediastinal para-oesophageal line, in the lower left part.
 
The LL projection shows a bulging of the retrocardiac space, with a presence of opacity with density of soft tissues.
 
The Chest TC shows the presence of tissue with a density of -100 / -110 HU and subtle hyperdense septa in its interior.
 
A double MDC oesophagus RX shows a hypotonic and hypokinetic oesophagus in absence of compression phenomena.
 
The Chest RM (RM Ax 3D) confirms the presence of intrathoracic lipoma.
 
RM Cor T2W: intrathoracic lipoma is extended from the plane passing through pulmonary trunk to the diaphragmatic hiatus.
 
The sagittal projection shows that the mass is well-clotted by the mediastinal organs.
 
 
 
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