Weekly Chest CasesArchive of Old Cases

Case No : 1461 Date 2025-10-20

  • Courtesy of Ki Yeol Lee, Hwan Seok Yong / Korea University Guro Hospital
  • Age/Sex 55 / M
  • Chief ComplaintDyspnea
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4
  • Figure 5
  • Figure 6

Diagnosis With Brief Discussion

Diagnosis
Desmoid fibromatosis of pleura
Radiologic Findings
Fig 1-2. Chest PA and lateral view show a large mass in right lower lung zone.
Fig 3-5. CT scans reveals a large mass in the right lower hemithorax, with attachment to the right lower posterior chest wall. Small amount of right pleural effusion without definite enhancement is seen in right hemithorax with passive atelectasis of right lower lobe.
Fig 6. This lesion is measured about 14.2 X 10.3 cm in diameter on coronal image.
Brief Review
References
1. L Permata, F Hayati. Pleural desmoid tumor: A rare site of presentation. Radiol Case Rep. 2022 Jun 10;17(8):2837-2840
2. Otero S, Moskovic E.C, Strauss D.C., et al. Desmoid–type fibromatosis. Clinical Radiology 2015;9(70):1038-1045
3. WHO classification of Tumours Editorial Board. Thoracic Tumours. International Agency for Research on Cancer; 2021
4. Elizabeth S. McDonald, Eunhee S. Yi, Doris E. Wenger. Extra-abdominal Desmoid-type fibromatosis. RadioGraphics 2008; 28:901–906
5. Lee JC, Thomas JM, Phillips S, Fisher C, Moskovic E. Aggressive fibromatosis: MRI features with pathologic correlation. AJR Am J Roentgenol 2006; 186(1):247–254.
6. Sundaram M, McGuire MH, Schajowicz F. Softtissue masses: histologic basis for decreased signal (short T2) on T2-weighted MR images. AJR Am J Roentgenol 1987;148(6):1247–1250.
7. F. Rosa, C. Martinetti, F. Piscopo et al. Multimodality imaging features of desmoid tumors: a head-to-toe spectrum. Insights into Imaging (2020) 11:103.
Please refer to
Case 1308
Keywords

No. of Applicants : 70

▶ Correct Answer : 1/70,  1.4%
  • - Yonsei University,Severance Hospital , Korea (South) SEO BUM CHO
▶ Correct Answer as Differential Diagnosis : 8/70,  11.4%
  • - The University of Tokyo Hospital , Japan ISSEI FUKUDA
  • - The University of Tokyo Hospital , Japan TOSHIHIRO FURUTA
  • - , Japan KENTARO KOTANI
  • - , Japan SHUNJIRO NOGUCHI
  • - Kyoto University , Japan SHO KOYASU
  • - Matsunami General Hospital , Japan TARO TAKEDA
  • - Toyota Kosei Hospital , Japan YUKI HAYASHI
  • - the first affiliatited hospital of nanjing medical univercity , China HAI XU
▶ Semi-Correct Answer : 1/70,  1.4%
  • - Narayana Multispeciality Hospital Jaipur Rajasthan , India JAINENDRA JAIN
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