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TitlePleural Based Lipoma
TextPleural based lipomas are thought to arise from subpleural adipose tissue. This masses are rarely symptomatic. They can cause focal swelling and are sometimes palpable.

Pleural lipomas present on plain film as smoothly contoured, convex masses arising from the pleural surface. On CT, uniform fat attenuation (-70 to -120 HU) confirms the diagnosis.

Concern for liposarcoma is raised when the mass is heterogenous showing a mixture of fat and soft tissue attenuation. Pleural based liposarcoma is rare.

References:Gaerte SC, Meyer CA, et al. Fat-containing Lesions of the Chest. Radiographics 2002; 22:S61-S78

Hansell DM, Armstrong P, et al. Imaging of Diseases of the Chest. Philadelphia: Elsevier Mosby, 2005.
ContributorPeter Vangeertruyden (National Capital Consortium)
Peer ReviewerJames G. Smirniotopoulos, M.D. (Uniformed Services University)
Record Number : 8815
Created2008-08-04 14:09:26-04
Modified2008-08-09 10:13:21.95086-04
Category:Neoplasm, benign
Location:Chest, Pulmonary (ex. Heart)
Sublocation:Pleura and cavity
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