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Localized Fibrous Tumor of the Pleura: Multimedia
Updated: Aug 2, 2007
Multimedia
 | Media file 1: Posteroanterior chest radiograph in a 70-year-old woman who presented with chest discomfort. A well-circumscribed, pleural-based mass is seen in the upper left hemithorax. The angle between the mass and the chest wall is obtuse. The lesion was resected and found to be a benign localized fibrous tumor of the pleura. |
 | Media file 2: Lateral chest radiograph in a 70-year-old woman who presented with chest discomfort (same patient as in Image 1). |
 | Media file 3: Chest computed tomography (CT) scans in a 70-year-old woman who presented with chest discomfort demonstrate a pleural, noncalcified soft-tissue mass with smooth, lobulated margins (same patient as in Images 1-2). The mass enhances slightly more than the soft tissue of the chest wall. No evidence of chest wall invasion is seen. |
 | Media file 4: Posteroanterior chest radiograph shows a mass with sharp, smooth margins in the upper right hemithorax. The angle between the lesion and the chest wall is acute. |
 | Media file 5: Lateral chest radiograph in the same patient as in Image 4. |
 | Media file 6: Posteroanterior chest radiograph shows a large mass in the lower right hemithorax, abutting the mediastinum and the right hemidiaphragm. A portion of the mass margin is obscured by adjacent minimal atelectasis. |
 | Media file 7: Lateral chest radiograph in the same patient as in Image 6. The described mass is overlying the cardiac shadow. |
 | Media file 8: Computed tomography (CT) scans of the chest demonstrate a large, somewhat heterogeneous soft-tissue mass in the right hemithorax (same patient as in Images 6-7). A mild mediastinal shift is due to the mass. The mass has well-defined, smooth margins. No evidence of chest wall or mediastinal invasion is noted. |
 | Media file 9: Posteroanterior chest radiograph in a 78-year-old man reveals a large, homogeneous opacity in the left hemithorax; this is partially obscured by associated pleural effusion. |
 | Media file 10: Computed tomography (CT) scans of the chest in a 78-year-old man demonstrate an inhomogeneous soft-tissue mass with well-defined margins and a central area of decreased attenuation (same patient as in Image 9). The configuration of the mass suggests that it resides within the major fissure. A small amount of compressive atelectasis is identified in the left upper lobe. No evidence of adjacent rib erosion or extension through the chest wall is seen. Small, bilateral pleural effusions are present. |
 | Media file 11: Posteroanterior chest radiograph shows that a small mass projects over the left mediastinal margin, inferior to the left hilum. |
 | Media file 12: Lateral chest radiograph in the same patient as in Image 11 demonstrates the mass overlying the middle mediastinum and deforming the anterior cardiovascular contour. |
 | Media file 13: Posteroanterior chest radiograph shows that a retrocardiac mass with smooth margins abuts the medial aspect of the left hemidiaphragm. |
 | Media file 14: Lateral chest radiograph in the same patient as in Image 13. A mass with smooth margins abuts the posterior aspect of the left hemidiaphragm. The angle between the mass and the diaphragm is acute. |
 | Media file 15: Posteroanterior chest radiograph shows a large mass in the lower right hemithorax. The mass abuts the mediastinum and the right hemidiaphragm, mimicking the elevation of the right hemidiaphragm. |
 | Media file 16: Lateral chest radiograph in the same patient as in Image 15. |
 | Media file 17: Sonogram of the lower right chest in the same patient as in Images 15-16. A hypoechoic, homogeneous mass (M) is compressing the right diaphragm and displacing the liver inferiorly. |
 | Media file 18: Contrast-enhanced chest computed tomography (CT) scans in a 51-year-old woman demonstrate a large, heterogeneous mass in the right hemithorax. A significant associated mediastinal shift is present. No chest wall invasion is noted, and a fat plane is separating the aorta and the esophagus from the mass. |
 | Media file 19: Magnetic resonance images of the chest in a 51-year-old woman, the same patient as in Image 18. Left, T1-weighted image. Right, T2-weighted image. A large, heterogeneous mass is located in the right hemithorax. A significant associated mediastinal shift is seen, with no chest wall or mediastinal invasion. The mass has relatively low signal intensity on the T1-weighted image and has slightly increased signal intensity on the T2-weighted image. |
 | Media file 20: T1-weighted chest magnetic resonance images show a low–signal-intensity mass in the posterior aspect of the left hemithorax. |
 | Media file 21: T2-weighted magnetic resonance images of the same patient as in Image 20. The noted mass has low signal intensity, with a linear focal area of increased signal intensity (necrosis vs degeneration). |
 | Media file 22: Chest computed tomography (CT) scans demonstrate a large, heterogeneous mass in the left hemithorax. An associated mediastinal shift is present, with no chest wall invasion. |
 | Media file 23: Angiography in the same patient as in Image 22. The right hemithorax mass demonstrates increased vascularity. |
 | Media file 24: Gross pathologic specimen of a resected tumor shows a well-circumscribed, encapsulated mass. |
More on Localized Fibrous Tumor of the Pleura |
| Overview: Localized Fibrous Tumor of the Pleura |
| Imaging: Localized Fibrous Tumor of the Pleura |
| Follow-up: Localized Fibrous Tumor of the Pleura |
 Multimedia: Localized Fibrous Tumor of the Pleura |
| References |
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References
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Further Reading
Keywords
LFTP, benign mesothelioma, fibrous mesothelioma, localized mesothelioma, diffuse mesothelioma, malignant mesothelioma, subpleural fibroma, submesothelial fibroma, pleural fibroma, pleural fibromyxoma, solitary fibrous tumor, localized fibrous pleural tumor, lung tumor, pleural tumor, pleural neoplasm, lung cancer, diffuse pleural tumor, localized pleural tumor
