Radiologic Findings of Bilateral Elastofibroma Dorsi: A Case Report

Giant Chest Wall Hematoma Mimicking Elastofibroma Dorsi: A Case Report

“…The periscapular soft tissue mass lesions that primarily display fibrous tissue generate low signals on T2WI, and these lesions include fibrous tissue tumors (extraabdominal desmoids and fibroma) as well as malignancies such as metastasis and sarcomas. Similarly, the other differential diagnostic options that show increased signal intensity on T1WI include lipoma, liposarcoma, hemangioma and hematoma (6,7). The MRI findings of chronic expanding hematomas are correlated with their histologic appearances.…”

“…Despite being very rare, elastofibroma dorsi that develops in a highly characteristic anatomical location should be considered in the differential diagnosis of a mass in the infrascapular region (6). Elastofibromas are slow growing lesions and their prevalence is relatively high among older individuals that have an occupational history of heavy manual labor (6,7). Elastofibroma dorsi usually presents as an oval soft tissue mass in the subscapular area, and this area is bordered by the subscapularis, rhomboid, latissimus dorsi and serratus anterior muscles.…”

“…Moreover, this mass was located subjacent to the inferior angle of the right scapula area, deep in the serratus anterior muscle and above the latissimus dorsi muscle. Despite being very rare, elastofibroma dorsi that develops in a highly characteristic anatomical location should be considered in the differential diagnosis of a mass in the infrascapular region (6). Elastofibromas are slow growing lesions and their prevalence is relatively high among older individuals that have an occupational history of heavy manual labor (6,7).…”

“…The common soft tissue tumors and non-neoplastic chest wall masses include peripheral nerve tumors, lipomas, liposarcomas, hemangiomas, elastofibromas, lymphomas, metastases from distant tumors, infectious mass lesions, desmoid tumors and malignant fibrous histiocytomas (1). A chest wall mass located anterior to the inferior tip of the scapula and deep in the serratus anterior muscle over the ribs of the thoracic cage can suggest elastofibroma dorsi (6,7). Imaging examinations are usually performed for patients with chest wall masses to establish a diagnosis and to evaluate the anatomic extension of these masses.…”