Pleural Mass: Causes & Reasons

Possible Causes for Pleural Mass

Benign Fibrous Mesothelioma of the Pleura

pleural lesions and axillary lymphe node Malignant pleural thickening: Mesothelioma with an irregular pleural mass and pleural fluid Malignant pleural thickening: Plearal [ultrasoundcases.info]

[…] and chest computed tomography showed lobulated pleural mass. [jsms.sch.ac.kr]

Variants lipomatous hemangiopericytoma: a fat-forming variant of pleural fibroma 7 Plain radiograph Presents as a pleural-based mass, which tends to be relatively circumscribed [radiopaedia.org]

Pleural Mesothelioma

mass in the right costovertebral recess, adjacent to the carina. [ncbi.nlm.nih.gov]

CT scans are more definitive, and may show not only the effusion, but the presence of pleural masses as well as the size certain lymph nodes; MRI is more sensitive in determining [mesotheliomaweb.org]

[…] the first case of "dry" MPM successfully diagnosed via endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) in a 73-year-old man presenting with a pleural [ncbi.nlm.nih.gov]

Aspergillosis

CT scan of the chest demonstrated bilateral pulmonary infiltrates, pleural masses ( Figure 1a, arrows) and a lytic lesion of the left fourth rib ( Figure 1b, arrow). [nature.com]

Empyema or pleural masses are rare.(6) In a small observational cohort study conducted in Spain, investigators identified 19 of 1,605 HIV-infected individuals with invasive [hivinsite.ucsf.edu]

[…] with a surrounding crescent of air,and presence of pleural thickening in peripheral lesions. [clinicaltrials.gov]

Meigs Syndrome

We report a case of a patient with recurrent pleural effusions and an ovarian mass, with the outside hospital pleural fluid cytology report describing ovarian cancer. [ncbi.nlm.nih.gov]

In patients with breast cancer and co-existing pleural effusions, ascites and adnexal masses, the probability of disseminated disease is high. [ncbi.nlm.nih.gov]

As in Meigs syndrome, pleural effusion resolves after removal of the pelvic mass. [ncbi.nlm.nih.gov]

Pleural Tuberculosis

Pleural tuberculosis presented as multiple pleural masses: An atypical presentation. [lungindia.com]

2 case questions available Case Discussion VATS resection of the pleural mass was performed. [radiopaedia.org]

In five patients with mass-like lesions on plain radiographs, CT showed a low-density pleural mass with peripheral enhancement in four and a calcified pleural mass with fluid [ncbi.nlm.nih.gov]

Pleuropulmonary Blastoma

Pleuropulmonary blastoma is a unique dysontogenetic neoplasm of childhood that appears as a pulmonary and/or pleural-based mass, and is characterised histologically by a primitive [ncbi.nlm.nih.gov]

Pleuropulmonary blastoma (PPB) is a rare and aggressive intrathoracic neoplasm of childhood, typically presenting as a pulmonary and/or pleural-based mass with cystic, solid [ncbi.nlm.nih.gov]

The surgery revealed a cystic and solid mass occupying the right pleural space medially displacing the right lower lung. [ncbi.nlm.nih.gov]

Pleural Calcification

The observation of dense calcification within a pleural mass should raise a suspicion of osteosarcomatous degeneration if it is seen in conjunction with other classic signs [insights.ovid.com]

Abstract Pleural thickening has a variety of causes and often must be distinguished from pleural masses, while pleural calcifications are frequently the result of chronic [radiologykey.com]

However, in one patient exhibiting sarcomatoid mesothelioma, stippled calcification was seen throughout the substance of a pleural mass. [ncbi.nlm.nih.gov]

Splenosis

All the patients were Caucasians male aged 40-63 presenting with pleural masses that mimicked malignancy, who were eventually diagnosed as thoracic splenosis. [erj.ersjournals.com]

Axial view from a computed tomographic image revealing a pleural-based mass (arrow) in a 62-year-old woman. [jaoa.org]

Thoracic splenosis is usually discovered incidentally on routine thoracic imaging as single or multiple, indeterminate pleural-based masses limited to the left hemithorax. [ncbi.nlm.nih.gov]

Primary Effusion Lymphoma

Radiological studies revealed bilateral pleural effusion, without evidence of abnormal lymphadenopathies and lung and/or pleural masses. [ncbi.nlm.nih.gov]

mass lesion; the cells are CD10-/CD20+/CD79a+/bcl-6-/MUM1+; they are EBV+ but HHV8-. [e-immunohistochemistry.info]

Both abdominal and pleural cavities were involved; no solid tumor masses were found and bone marrow investigations were normal. [ncbi.nlm.nih.gov]

Compression Atelectasis

[…] not a major diagnostic problem since the clinical presentation is dominated by underlying disease (pleural effusion, mass). * Loss of alveolar stability. [encyclopedia.lubopitko-bg.com]

A large pleural-based lung mass may cause compression atelectasis by decreasing lung volumes. Adhesive atelectasis is caused by a lack of surfactant. [emedicine.medscape.com]

[…] effusion Pneumothorax Emphysematous bulla Causes of Compression atelectasis : Chest wall, pleural, or intraparenchymal masses Causes of Adhesive atelectasis : Acute respiratory [respiratoryupdates.wordpress.com]

Pulmonary Artery Choriocarcinoma

Figure 2: Thoracic CT: Multiple pulmonary, and pleural masses. [latunisiemedicale.com]

[…] became a well-defined mass. [archbronconeumol.org]

masses. [latunisiemedicale.com]

Pleural Neurilemmoma

Herein, we report a case of primary benign pleural schwannoma in an elderly 60-year-old female in whom the pleural mass was discovered incidentally on computed tomography [digitmedicine.com]

No pleural effusion/thickening observed [Figure 1]. A radiological diagnosis of “posterior mediastinal cystic mass-neurofibroma” was considered. [digitmedicine.com]

R0 excision of pleural mass was done corresponding to resection for cure or complete remission and specimen sent for histopathological examination. [digitmedicine.com]

Respiratory System Cancer

BP: Patient present with a pulmonary- or pleural-based cystic mass and respiratory symptoms, with or without fever. 35 Pleural or mediastinal involvement is associated with [es.slideshare.net]

Rabdo: Imaging usually demonstrates a large heterogeneous mass with rib destruction and occasionally a pleural effusion. Resection is the primary treatment. [es.slideshare.net]

Uterine Corpus Choriocarcinoma

Figure 2: Thoracic CT: Multiple pulmonary, and pleural masses. [latunisiemedicale.com]

masses. [latunisiemedicale.com]

(Figure 1).In front of this radiological aspect, a Figure 1: Chest X ray: Several bilateral opacities. thoracic CT scan was performed and showed multiple pulmonary, and pleural [latunisiemedicale.com]

Pleural Lipoma

The resected tumor was a pedunculated pleural mass, yellowish in color, and pathological diagnosis confirmed a lipoma. [typeset.io]

The principal differential diagnoses are those of single pleural masses. However, fat-containing lesions of the chest (e.g. hamartoma) should also be considered. [radiopaedia.org]

Differential diagnosis The principal differential diagnoses are those of single pleural masses. [pacs.de]

Askin's Tumor

In our patient 1 a posterior pleural mass was discovered during routine radiographic screening without symptoms, whereas patient 2 had an expanding mass in the chest wall [jtcvs.org]

Subsequent chest CT with IV contrast showed pleural-based conglomerate lobular masses of the left hemithorax (Figure 2). [appliedradiology.com]

However, symptoms may also include a chest wall mass, pleural effusion, superficial lymph nodes and rib fractures. [spandidos-publications.com]

Benign Lung Neoplasm

BP: Patient present with a pulmonary- or pleural-based cystic mass and respiratory symptoms, with or without fever. 35 Pleural or mediastinal involvement is associated with [es.slideshare.net]

Rabdo: Imaging usually demonstrates a large heterogeneous mass with rib destruction and occasionally a pleural effusion. Resection is the primary treatment. [es.slideshare.net]

Monophasic Synovial Sarcoma

Results In each case, chest X-rays showed changes, with the presence of pulmonary masses noted in all patients. In one patient, pleural effusion was also visible. [link.springer.com]

Conclusions Although PSSL is a rare tumour, a pulmonary mass of inhomogeneous density, associated with pleural effusion but without lymphadenopathy, detected in an asymptomatic [link.springer.com]

[…] of pleural origin with either irregular or well-defined margins. [link.springer.com]

Doege-Potter Syndrome

All investigations proved to be normal, except for a chest x-ray, which showed a large pleural mass. On transthoracic puncture, a tumor of pleural origin was diagnosed. [jto.org]

We present the case of a patient with initial respiratory signs and symptoms, a documented pleural mass with a histological diagnosis by biopsy of a solitary fibrous tumor [scielo.org.co]

A contrast-enhanced chest and abdominal CT scans showed a single large pleural mass in the left lower hemithorax measuring 15x14 cm without secondary lesions. [eurekaselect.com]

Benign Respiratory Tract Neoplasm

BP: Patient present with a pulmonary- or pleural-based cystic mass and respiratory symptoms, with or without fever. 35 Pleural or mediastinal involvement is associated with [es.slideshare.net]

Rabdo: Imaging usually demonstrates a large heterogeneous mass with rib destruction and occasionally a pleural effusion. Resection is the primary treatment. [es.slideshare.net]

Thymus Lipoma

Computed tomography showed a mass in the left side of the chest occupying both the anterior mediastinum and the left pleural cavity. [pesquisa.bvsalud.org]

This mass caused lung collapse and mediastinal shift. [pesquisa.bvsalud.org]

We present the case of a 26-year-old man who sought medical attention for left-sided pleural pain of 3 months duration. [pesquisa.bvsalud.org]

Vallecula Cancer

There was no other mass lesion in the lung or the mediastinum. A CT-guided biopsy of the pleural mass revealed metastatic carcinoma squamous cell type (Table/Fig 3). [jcdr.net]

CT scan of the chest revealed moderate right pleural effusion and a pleural-based soft-tissue mass beneath the right 11th rib on the posterolateral aspect (Table/Fig 2). [jcdr.net]

Patient was treated with intercostal tube drainage and palliative radiotherapy to the pleural mass 8 Gy in one fraction in February 2003. [jcdr.net]

Mediastinal Synovial Sarcoma

A 37-year-old man with a pleural mass. Arch Pathol Lab Med2005; 129(8): 1063–1064. [pubs.rsna.org]

Results In each case, chest X-rays showed changes, with the presence of pulmonary masses noted in all patients. In one patient, pleural effusion was also visible. [link.springer.com]

[…] a localized mass. [med.amegroups.com]

Testicular Seminoma Pseudoglandular Variant

[…] effusion associated with mediastinal mass suggestive of pulmonary neoplasia. [pesquisa.bvsalud.org]

METHODS: We present a 67-year-old female with a thoracic dumbbell-shaped capillary hemangioma with both foraminal and intrathoracic extensions, whose presentation was pleural [pesquisa.bvsalud.org]

Malignant Pleural Mesothelioma

Punctate calcification in the pleural mass as a lesion distinct from the pleural plaque may indicate osseous or osteosarcomatous differentiation in malignant mesothelioma. [ncbi.nlm.nih.gov]

mass detected by chest computed tomography. [ncbi.nlm.nih.gov]

Radiologic imaging revealed a diffuse pleural-based mass encasing the right lung. [ncbi.nlm.nih.gov]

Pulmonary Blastoma

These neoplasms were intrapulmonary, mediastinal, or pleural‐based masses. [experts.umn.edu]

(n = 1), or a parenchymal mass with multiple subpleural masses and pleural effusion (n = 1). [ncbi.nlm.nih.gov]

On CT, the pulmonary blastoma manifested as a solitary parenchymal mass (n = 2), a solitary parenchymal nodule (n = 1), an endobronchial mass with postobstructive pneumonitis [ncbi.nlm.nih.gov]

Mediastinal Teratoma

Clinical history and findings A 21-year-old man was referred to our service from a local hospital for further management of a right hemithoracic extra-pleural mass with a [ncbi.nlm.nih.gov]

[…] cavity: pleural effusion On chest radiography, the differential is broad, and includes any cause of an anterior mediastinal mass: differential diagnosis for anterior mediastinal [radiopaedia.org]

A CT-scan revealed a bulky mass of 7 × 9 cm in the superior mediastinal region, extended into the left pleural cavity, adherent to the aorta and compressing the pulmonary [annalsofoncology.org]

Obstructive Atelectasis

[…] not a major diagnostic problem since the clinical presentation is dominated by underlying disease (pleural effusion, mass). * Loss of alveolar stability. [encyclopedia.lubopitko-bg.com]

A large pleural-based lung mass may cause compression atelectasis by decreasing lung volumes. Adhesive atelectasis is caused by a lack of surfactant. [emedicine.medscape.com]

Paragonimus Kellicotti

Common CT findings include pleural effusion, a mass, and lymphadenopathy. [ncbi.nlm.nih.gov]

Other common imaging findings include pleural effusion, pleural thickening, a mass or consolidation, and mediastinal and/or hilar lymphadenopathy. [ncbi.nlm.nih.gov]

A CT scan showed a mass/area of consolidation in the left upper lobe of his lung along with mediastinal lymphadenopathy and a left pleural effusion (Figure 1). [ncbi.nlm.nih.gov]

Biphasic Mesothelioma

Biopsy taken under ultrasound from pleural mass tapering into left T3/T4 lateral foramen showed fragments of thickened fibrotic pleura with a biphasic tumor composed of epithelioid [omicsonline.org]

A CT-guided core biopsy of the right pleural-based mass was performed. [ncbi.nlm.nih.gov]

A follow-up chest CT showed a stable 8 cm rib-pleural mass. [ncbi.nlm.nih.gov]