CTICasesSolitary fibrous tumor of the pleura
Imaging findings
Chest CT shows a giant, well-circumscribed, heterogeneous soft tissue mass in the right hemithorax containing calcification and low-attenuation necrotic areas, displacing the lung superiorly. Feeder vessels are seen arising from the cardiophrenic fat and parasitizing adjacent pulmonary vessels.
Key takeaways
Solitary fibrous tumors of the pleura are mesenchymal neoplasms that can grow to enormous sizes. Key CT findings include a well-circumscribed pleural-based mass with heterogeneous enhancement, calcification, internal necrosis, and a prominent feeding vascular pedicle that can parasitize adjacent blood supply.
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