Pleural lipoma

Case contributed by Ian Bickle
Diagnosis almost certain

Presentation

Chest pain and cough.

Patient Data

Age: 40 years
Gender: Male
x-ray

8 cm right upper thoracic chest wall mass.

Heart size normal. Lungs clear. Normal mediastinum.

ct

8 cm right fatty pleural based mass. No calcification.

Normal mediastinum. Lungs clear.

Case Discussion

Not all masses on chest radiographs are cancer.

The chest x-ray is a good example of identifying if a mass is pleural or lung based with the obtuse angle between the mass and chest wall indicating a non-lung origin.

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