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Solitary Chest Wall Neurofibroma

Imaging findings

CT shows a smoothly marginated, homogeneous soft tissue mass in the right lower chest wall abutting the pleura and remodeling the adjacent rib, mimicking a solitary fibrous tumor. Needle biopsy confirmed a neurofibroma.

Key takeaways

Neurofibromas are benign nerve sheath tumors that can arise in the chest wall. They present as smooth, well-defined masses that can cause local pressure-related rib remodeling, mimicking pleural tumors such as solitary fibrous tumors.

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