PLEURAL LIPOMA: A CASE REPORT AND REVIEW OF LITERATURE A L O F RA D IO L O GY Case Report

Pa K I S Ta N J Ou R N
unpublished
A 50 ye ar ol d obe s e w om an pre s e nte d to th e pul m onol ogis t w ith com pl aints of l ow grade fe ve r and m il d l e ft s ide d ch e s t dis com fort on and off for 6 m onth s. H e r ch e s t e xam ination w as unre m ark abl e. Pl ain X-ray of th e ch e s t w as advis e d th at s h ow e d an abnorm al radio-opacity w ith tape re d m argins in th e l e ft l ung l ow e r z one cl os e to th e re trocardiac s h adow m ak ing an obtus e angl e w ith th e l ung pare nch ym a (Fig 1). CT
more » ... h ym a (Fig 1). CT s can ch e s t w ith contras t w as re com m e n-de d to rul e out th e pos s ibil ity of any unde rl ying m as s l e s ion. CT re ve al e d a w e l l de fine d pl e ural bas e d fat de ns ity l e s ion m e as uring 4.2 x 2.7 cm in th e pos te ro-l ate ral as pe ct of th e l e ft l ow e r th oracic cavity. It h as conve x and tape ring e dge s m ak ing an obtus e angl e w ith ch e s t w al l. No pos t contras t e nh ance m e nt w as pre s e nt. Diagnos is of pl e ural l ipom a w as m ade (Fig. 2, 3, 4). Vide o As s is te d th oracos copic s urge ry (V ATS) w as done and l e s ion w as re m ove d. H is topath ol ogical e xam ination of th e s pe cim e n confirm e d a be nign pl e ural l ipom a. Sheeza Imtiaz PJR October-December 2016; 26(4): 356-359 Lipom as are be nign s oft tis s ue tum ors aris ing from m ature adipocyte s. Al th ough th e y can be e ncounte re d al m os t anyw h e re in th e body, th e ir occurre nce w ith in th e th oracic cavity in re l ation to th e pl e ura is ve ry rare. M os t re porte d cas e s of pl e ural l ipom a are of as ym ptom atic l ipom as , w h ich are accide ntal l y dis cove re d. Sym ptom atic pl e ural l ipom a is a m uch m ore rare e ntity. Th is is a cas e of be nign pl e ural l ipom a caus ing m il d ch e s t s ym ptom s and w as s ucce s s ful l y tre ate d w ith vide o as s is te d th oracic s urge ry (V ATS). ABSTRACT De partm e nt of Radiol ogy, Pate l H os pital , Karach i, Pak is tan. Discussion Lipom a is a be nign m e s e nch ym al ne opl as m of fat. Lipom as are rare l y e ncounte re d in th e th oracic cavity.
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