CTICasesMelorheostosis with Pleural Masses
Imaging findings
Spine and pelvic CTs show characteristic 'dripping candle wax' hyperostosis (cortical thickening) of the ribs and pelvis. Over 30 years, the patient developed slowly growing benign fibrofatty pleural masses adjacent to the affected ribs.
Key takeaways
Melorheostosis is a rare, non-hereditary sclerosing bone dysplasia. It can be associated with soft tissue and fibrofatty masses in adjacent compartments (such as the pleura), which can mimic liposarcoma but are benign.
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