Thoracolithiasis: a case report

Peungjesada, Silanath; Gupta, Pramod Kumar; Mottershaw, Ann M.

doi:10.1016/j.clinimag.2011.08.023

Cited by 11 publications

(10 citation statements)

References 7 publications

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“…Given the left-sided predominance (70%) of this entity, fat necrosis in the epipericardial space has also been proposed as a likely cause [48,51]. Thoracolithiasis is rarely symptomatic, and most cases are discovered incidentally on radiographs, CT images, or at the time of surgery [52]. The diagnosis of thoracolithiasis can be suspected by imaging findings, especially the demonstration of mobility of a calcified pleural nodule (Fig.…”

Section: Thoracolithiasismentioning

confidence: 97%

“…The composition of the central core is variable, but most cases exhibit fat with or without calcification or necrosis; less-common findings are dust, stones, and denatured blood and fibrin [49,52]. Thoracolithiasis does not require treatment or intervention, except in the presence of clearly associated symptoms [51].…”

Section: Thoracolithiasismentioning

confidence: 99%

“…Most stones are calcified, with or without low central density due to the presence of fat [52]. Calcification can be diffuse and homogeneous, peripheral with an eggshell-like appearance, or spotty and central [49].…”

Section: Thoracolithiasismentioning

confidence: 99%

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Focal pleural tumorlike conditions: Nodules and masses beyond mesotheliomas and metastasis

Paula

Escuissato

Belém

et al. 2015

Respiratory Medicine

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A tumorlike condition of the pleura is any nonmalignant lesion of the pleura or within the pleural space that could be confused with a pleural tumor on initial imaging. Tumorlike conditions of the pleura are relatively rare compared with neoplastic lesions such as mesotheliomas and metastases. Imaging-based diagnosis of these conditions can be difficult due to the similarity of appearance. Thus, recognition of certain imaging patterns and interpretation of these patterns in the clinical context are important. Pleural endometriosis, thoracic splenosis, thoracolithiasis, foreign bodies, pleural pseudotumors and pleural plaques are significant examples of focal tumorlike conditions discussed in this article. Computed tomography is the mainstay imaging technique for the primary assessment of pleural disease, but other imaging methods, such as magnetic resonance imaging and positron-emission tomography, can be of great support in the diagnosis.

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Section: Thoracolithiasismentioning

confidence: 97%

Section: Thoracolithiasismentioning

confidence: 99%

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Focal pleural tumorlike conditions: Nodules and masses beyond mesotheliomas and metastasis

Paula

Escuissato

Belém

et al. 2015

Respiratory Medicine

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“…A pleural loose body, which is also known as a 'pleural mouse', 'pleural fibrin body', or 'thoracolithiasis', is a rare benign condition. There have been several case reports of this benign condition, in which most of the loose bodies were calcified and up to 1.5 cm in size ( 1 2 3 ). We report a pleural loose body found incidentally that was unusually large and non-calcified, mimicking a pedunculated pleural tumor on imaging studies.…”

Section: Introductionmentioning

confidence: 99%

A Pleural Loose Body Mimicking a Pleural Tumor: A Case Report

et al. 2015

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We present a rare case of a pleural loose body, thought to be a pedunculated pleural tumor, found incidentally in a 58-year-old female. Computed tomography showed a non-enhancing mass, which migrated along the mediastinum and paravertebral area. Thoracoscopic surgery revealed a 4 cm, soap-like mass that was found to be a fibrin body consisting of hyalinized collagen histopathologically. Mobility and the lack of contrast enhancement of a pleural mass are important clues to diagnosing this benign condition.

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“…Thoracolithiasis does not require any specific treatment, especially not surgical resection. (1)(2)(3) For patients with mobile pleural calcified nodules, clinicians and radiologists should recommend clinical observation, because nodule removal might not be necessary for diagnosis.…”

mentioning

confidence: 99%