Faces of Hamartomas

Fat Containing Heterogeneous Nodule in the Lung  – Hamartoma

Axial CT Axial Fat Containing Heterogeneous Nodule in the Lung  – Hamartoma
CT in the axial plane of a 42-year-old male shows a 9mm nodule in the anterior segment of right upper lobe that is heterogeneous (lower right panel) and fat containing (-6.1HU measurement in lower left panel). Findings are consistent with a pulmonary hamartoma
Ashley Davidoff MD TheCommonVein.net 136031c

Classical Case with Popcorn Calcification

79 year old male with a 5.5cms mass in the left upper lobe shown on frontal views of the chest taken 4 years apart and showing no growth. The mass is characterized by heterogeneous calcifications Findings are consistent with a hamartoma
Ashley Davidoff MD TheCommonVein.net hamartoma 006v.8
79 year old male with a 5.5cms mass in the left upper lobe shown on CT coronal reformats (upper) and axial projection (lower) on bone and soft tissue windows. The mass is characterized by heterogeneous “popcorn-like” calcifications Findings are consistent with a hamartoma
Ashley Davidoff MD TheCommonVein.net hamartoma 003c.8
79 year old male with a 5.5cms mass in the left upper lobe shown on CT sagittal reformats on lung windows and bone windows. The mass is characterized by heterogeneous “popcorn-llike” calcifications Findings are consistent with a hamartoma
Ashley Davidoff MD TheCommonVein.net hamartoma 004b.8
80 year old male with stable calcifications in a 2.9cms lung nodule. The calcification is better appreciated on the CT scan but the mass is irregular
Diagnosis includes a benign hamartoma
and amyloidoma
Ashley Davidoff TheCommonvein.net
hamartoma calcifications 002c stable
80 year old male with stable calcifications in a 2.9cms lung nodule. The calcification is large and irregular and mostly central. Diagnosis includes a benign hamartoma
and amyloidoma
Ashley Davidoff TheCommonvein.net
hamartoma calcifications 004c stable
86 year old female with a stable calcified nodule in the right lower lobe. The calcification is lobulated and this appearance is reminiscent either of the popcorn calcification of a hamartoma or an amyloid nodule
Ashley Davidoff TheCommonvein.net
hamartoma 0001c01 86f
51 year old male with stable calcifications in a lung nodule. The calcifications are both central and peripheral Diagnosis is mpst likely a benign hamartoma
Ashley Davidoff TheCommonvein.net
hamartoma calcifications 002c stable

Mildly Heterogeneous Soft Tissue Nodule

33 year old male with a well defined soft tissue nodule in the left upper on frontal and lateral chest X-ray showing no growth and likely representing a hamartoma
Ashley Davidoff MD TheCommonVein.net benign hamartoma 005 33m c01
33 year old male with a mildly heterogeneous soft tissue nodule in the left upper lobe showing no growth and representing a hamartoma
Ashley Davidoff MD TheCommonVein.net benign hamartoma 004 33m
65 year old male with incidental finding of a nodule in the left mainstem bronchus . Pathology confirmed a hamartoma
Ashley Davidoff MD TheCommonvein.net hamartoma
65 year old male with incidental finding of a nodule in the left mainstem bronchus . Pathology confirmed a hamartoma
Ashley Davidoff MD TheCommonvein.net hamartoma 005
65 year old male with incidental finding of a nodule in the left mainstem bronchus . Pathology confirmed a hamartoma
Ashley Davidoff MD TheCommonvein.net hamartoma 004

 Lingular Atelectasis with  Obstructing Nodule

CXR – Lingular Infiltrate
55-year-old female presents with a chronic cough
Frontal CXR shows an infiltrate involving the superior segment of the lingula, with partial silhouetting of the left heart border, and without associated secondary changes of volume loss
Final diagnosis was an obstructing hamartoma of the superior lingula bronchus
Courtesy Ashley Davidoff MD TheCommonVein.net 290 Lu 136563
CT – Lingular Atelectasis with  Obstructing Nodule
55-year-old female presents with a chronic cough
CT in the axial plane shows an infiltrate involving the superior segment of the lingula, reflecting segmental post obstructive atelectasis (b red asterisk). A rounded soft tissue filling defect is noted in the subtending bronchus (b, black arrowhead) with downstream mucus accumulation (b yellow arrowhead)
Final diagnosis was an obstructing hamartoma of the superior lingula bronchus
Courtesy Ashley Davidoff MD TheCommonVein.net 290 Lu 136566cL