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

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 n...

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Autores principales: Haseli, Sara, Mansoori, Bahar, Shafiei, Mehrzad, Shomal Zadeh, Firoozeh, Chalian, Hamid, Khoshpouri, Parisa, Yousem, David, Chalian, Majid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8871555/
https://www.ncbi.nlm.nih.gov/pubmed/35204391
http://dx.doi.org/10.3390/diagnostics12020301
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author Haseli, Sara
Mansoori, Bahar
Shafiei, Mehrzad
Shomal Zadeh, Firoozeh
Chalian, Hamid
Khoshpouri, Parisa
Yousem, David
Chalian, Majid
author_facet Haseli, Sara
Mansoori, Bahar
Shafiei, Mehrzad
Shomal Zadeh, Firoozeh
Chalian, Hamid
Khoshpouri, Parisa
Yousem, David
Chalian, Majid
author_sort Haseli, Sara
collection PubMed
description 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.
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spelling pubmed-88715552022-02-25 A Review of Posteromedial Lesions of the Chest Wall: What Should a Chest Radiologist Know? Haseli, Sara Mansoori, Bahar Shafiei, Mehrzad Shomal Zadeh, Firoozeh Chalian, Hamid Khoshpouri, Parisa Yousem, David Chalian, Majid Diagnostics (Basel) Review 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. MDPI 2022-01-25 /pmc/articles/PMC8871555/ /pubmed/35204391 http://dx.doi.org/10.3390/diagnostics12020301 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Haseli, Sara
Mansoori, Bahar
Shafiei, Mehrzad
Shomal Zadeh, Firoozeh
Chalian, Hamid
Khoshpouri, Parisa
Yousem, David
Chalian, Majid
A Review of Posteromedial Lesions of the Chest Wall: What Should a Chest Radiologist Know?
title A Review of Posteromedial Lesions of the Chest Wall: What Should a Chest Radiologist Know?
title_full A Review of Posteromedial Lesions of the Chest Wall: What Should a Chest Radiologist Know?
title_fullStr A Review of Posteromedial Lesions of the Chest Wall: What Should a Chest Radiologist Know?
title_full_unstemmed A Review of Posteromedial Lesions of the Chest Wall: What Should a Chest Radiologist Know?
title_short A Review of Posteromedial Lesions of the Chest Wall: What Should a Chest Radiologist Know?
title_sort review of posteromedial lesions of the chest wall: what should a chest radiologist know?
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8871555/
https://www.ncbi.nlm.nih.gov/pubmed/35204391
http://dx.doi.org/10.3390/diagnostics12020301
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