Presentation
Right flank pain
Patient Data
Age: 30 years
Gender: Female
From the case:
Intercostal nerve schwannoma
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A lobulated homogeneous soft tissue mass of the right paravertebral space (at the level of 9th-10th and 10th-11th intercostal spaces), containing punctate calcification with mild contrast enhancement. Note mild extension to the adjacent intercostal spaces. No extension is seen into the spinal canal. No rib destruction or erosion is seen on the bone window.
Case Discussion
Intercostal nerve schwannomas are also called intercostal neurinomas or neurilemmomas. They are well-encapsulated benign tumors of the intercostal nerve sheath. The differential diagnosis should include the pleural tumors. The treatment of choice is a surgical resection of a tumor.
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