Macrocystic lymphatic malformation of the chest wall and axilla: A case report in a 45-year-old man

Lymphatic malformations (LMs) are rare, with more than 90% occurring during childhood. Most LMs are located in the head, neck and axilla. LMs in chest wall are extremely rare, particularly in adults. This report describes a 45-year-old man with a large macrocystic LM in the right anterior chest wall. Computed tomography showed a ∼15 cm sized, well-defined, homogeneous and hypoattenuated mass without enhancement in the right anterior chest wall. On ultrasonography (US), the mass was circumscribed and anechoic, with internal septations and posterior acoustic enhancement. Following surgical excision, the mass was diagnosed as a macrocystic LM.