A Review of Posteromedial Lesions of the Chest Wall: What Should a Chest Radiologist Know?

Diagnostics

Bahar Mansoori¹  Hamid Chalian²  Mehrzad Shafiei³  Firoozeh Shomal Zadeh³  Majid Chalian³  Sara Haseli³  Parisa Khoshpouri³  David Yousem⁴ 

[1] Department of Radiology, Division of Abdominal Imaging, University of Washington, Seattle, WA 98105, USA;Department of Radiology, Division of Cardiothoracic Imaging, University of Washington, Seattle, WA 98105, USA;Department of Radiology, Division of Musculoskeletal Imaging and Intervention, University of Washington, Seattle, WA 98105, USA;Russell H. Morgan Department of Radiology and Radiological Sciences, Division of Neuroradiology, Johns Hopkins Medical Center, Baltimore, MD 21287, USA;

关键词: chest wall;    posteromedial;    lesion;    imaging;    benign;    malignant;   

DOI  :  10.3390/diagnostics12020301

来源: DOAJ

【 摘 要 】

A heterogeneous group of tumors can affect the posteromedial chest wall. They form diverse groups of benign and malignant (primary or secondary) pathologies that can arise from different chest wall structures, i.e., fat, muscular, vascular, osseous, or neurogenic tissues. Chest radiography is very nonspecific for the characterization of chest wall lesions. The modality of choice for the initial assessment of the chest wall lesions is computed tomography (CT). More advanced cross-sectional modalities such as magnetic resonance imaging (MRI) and positron emission tomography (PET) with fluorodeoxyglucose are usually used for further characterization, staging, treatment response, and assessment of recurrence. A systematic approach based on age, clinical history, and radiologic findings is required for correct diagnosis. It is essential for radiologists to be familiar with the spectrum of lesions that might affect the posteromedial chest wall and their characteristic imaging features. Although the imaging findings of these tumors can be nonspecific, cross-sectional imaging helps to limit the differential diagnosis and determine the further diagnostic investigation (e.g., image-guided biopsy). Specific imaging findings, e.g., location, mineralization, enhancement pattern, and local invasion, occasionally allow a particular diagnosis. This article reviews the posteromedial chest wall anatomy and different pathologies. We provide a combination of location and imaging features of each pathology. We will also explore the role of imaging and its strengths and limitations for diagnosing posteromedial chest wall lesions.

【 授权许可】

Unknown