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Bilateral breast fat necrosis

Imaging findings

Chest radiograph shows bilateral calcified chest wall masses. CT confirms bilateral breast fat necrosis showing characteristic rim calcification and central macroscopic fat attenuation.

Key takeaways

Breast fat necrosis can present as calcified or soft tissue density masses on chest radiographs, mimicking pulmonary or pleural pathology. Correlating with CT or mammography readily identifies the subcutaneous location, fat attenuation, and typical calcification pattern.

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