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Angiofibroma of the Chest Wall

Imaging findings

An incidental chest wall mass was identified deep to the pectoralis muscle, showing avid enhancement on both MRI and CT. The mass remained stable in size over a year, was painless, and was ultimately diagnosed as an angiofibroma after excision.

Key takeaways

Angiofibromas are rare, benign mesenchymal tumors that can present as avidly enhancing soft tissue masses. Their stability in size over time is a reassuring characteristic, though a broad differential diagnosis should be considered for such lesions. Pathological diagnosis can be complex due to varied histological features.

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