CT imaging of the chest wall tumor |
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benign rib tumor
malignant rib tumor |
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benign rib tumor |
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osteochondroma |
- punctuate or floccuolent calcification with a mineralized hyaline cartilage cap. The cortex and medullary space blend into underlying bone.
** the dense calcification of the tumor

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fibrous dysplasia |
- a trabeculated, expansile lesion with soap[ bubble or ground glass center and thinning cortex
** typical-appering fibrous dysplasia as expansile lesion

** the expansile and amorphous nature on CT

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chondroma |
- punctate calcifications of the matrix and scalloping of th cortex
** calcification within the mass

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osteoid osteoma |
- a small (< 1 cm) radiolucent lesion, termed a nidus, with a thick sclerotic margin of reactive bone |
elastofibroma |
- left-sided elastofibroma with left shoulder mass

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malignant rib tumor |
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metastatic chest wall tumor |
- lung SCC invading the 5th and 6th ribs : invasion from adjacent malignancies or metastases are more common than primary malignancy chest wall tumors

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chondrosarcoma |
- a lobulated mass of soft tissu eattenuation with dense calcification
** the prominent chondroid matrix mineralization with mottled calcification

** dense calcification within the mass

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osteosarcoma |
- large, heterogeneous mass with areas of bony destruction
** osteosarcoma involving the sternum

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Ewing sarcoma |
- Ewing sarcoma invading 3rd and 4th ribs

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desmoid tumor |
- variable nondescript appearance, depending on the amout of collagen content, but generally with similar enhancement to muscle
** locally recurrent desmoid tumor involving the left chest wall

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