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First published online May 25, 2006
British Journal of Radiology (2007) 80, 574-580
© 2007 British Institute of Radiology
doi: 10.1259/bjr/16591964
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Soft tissue tumours and mass-like lesions of the chest wall: a pictorial review of CT and MR findings

P O'Sullivan, FFR, RCSI 1 H O'Dwyer 1 J Flint 2 P L Munk, MDCM, FRCPC 1 and N Muller, MD, PhD, FRCP(C) 1

Departments of 1 Radiology and 2 Anatomical Pathology, University of British Columbia, Vancouver General Hospital, Vancouver, BC, Canada


Figure 1
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  		Figure 1. 35-year-old male with intercostal nerve schwannoma. T2 coronal MR image shows round, smooth, heterogeneous intermediate and high signal intensity.

 

Figure 2
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  		Figure 2. 62-year-old-male with right axillary plexiform neuroma. Coronal T1 fat-saturated MR post gadolinium shows uniform tumour enhancement.

 

Figure 3
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  		Figure 3. 40-year-old male with right intercostal schwannoma. Axial T1 image (non-contrast) shows a "bead-like" appearance of schwannoma.

 

Figure 4
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  		Figure 4. 56-year-old female with hepatitis C and metastatic hepatocellular carcinoma. CT shows enhancing chest wall metastases (arrow) and similar enhancing nodular hepatocellular carcinoma.

 

Figure 5
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  		Figure 5. 68-year-old female with metastatic breast carcinoma. CT image shows multiple soft tissue attenuation mass lesions in the chest wall and subcutaneous tissues.

 

Figure 6
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  		Figure 6. 42-year-old male with right anterior chest wall lipoma. CT image shows fatty lobulated tumour with a few thin internal septations.

 

Figure 7
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  		Figure 7. 26-year-old female with well-differentiated liposarcoma. Coronal T1 fat-saturated post-gadolinium MR shows incomplete fat saturation within a large encapsulated fatty-appearing tumour in the right lateral chest wall.

 

Figure 8
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  		Figure 8. 56-year-old male with intermediate-grade liposarcoma deep to left pectoralis minor muscle. T2 weighted MR image shows oval mass of heterogeneous high signal intensity lower than fat.

 

Figure 9
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  		Figure 9. 82-year-old female also with non-Hodgkin lymphoma. CT image shows extensive anterior chest wall spread of lymphoma, with bilateral pleural effusions, pericardial effusion and right lung consolidation.

 

Figure 10
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  		Figure 10. 32-year-old male with anterior chest wall TB abscess. CT image shows fluid collection with a thick enhancing rim.

 

Figure 11
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  		Figure 11. 36-year-old male intravenous drug user with "empyema necessitans". CT image shows empyema and draining chest wall abscess.

 

Figure 12
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  		Figure 12. 78-year-old male with right infrascapular elastofibroma. T2 MR shows low signal mass similar to muscle with internal "layered" appearance (arrow) due to adipose tissue.

 

Figure 13
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  		Figure 13. 32-year-old female with sclerosing haemangioma of the chest wall. (a) CT image shows round soft tissue mass in anterior chest wall. A phlebolith is seen on the pre-contrast images (arrow). (b) CT image shows marked vascular "blush" enhancement pattern following intravenous contrast administration.

 

Figure 14
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  		Figure 14. 57-year-old male with massive haemangioma of the chest wall. T1 weighted MR image shows large soft tissue mass, with low signal vascular channels (arrow).

 

Figure 15
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  		Figure 15. 28-year-old male with aggressive fibromatosis/desmoid tumour. Coronal T1 weighted image shows a large tumour (arrow) of similar attenuation to muscle arising from the right chest wall.

 

Figure 16
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  		Figure 16. 65-year-old male with aggressive fibromatosis/desmoid tumour. T2 weighted image shows high signal intensity large exuberant tumour growth from the right chest wall.

 

Figure 17
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  		Figure 17. 52-year-old female with malignant fibrous histiocytoma (MFH) of the right chest wall, behind a breast prosthesis. (a) Cross-sectional T1 weighted image shows low signal tumour similar to muscle (arrow). (b) Sagittal T2 image shows high signal tumour periphery with dark centre (arrow).

 




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