CXR of an 80year old male shows splaying of the carina suggesting left atrial enlargement. There is however an unusual soft tissue on the right side of the heart that has a relatively straight superior border starting at the diaphragm and pointing toward the carina.
Ashley DavidoffMD TheCommonVein.net
Herniating Lipoma into the Chest
CT scan at the level of the hiatus of an 80year old male shows fat herniating from the abdominal cavity into the thoracic cavity continuing to the hilum posterior to the left atrium. This may represent a lipoma, less likely a liposarcoma or herniation of retroperitoneal fat without associated herniation of the stomach
Ashley Davidoff MD TheCommonVein.net
CT scan at the level of the left atrium of an 80year old male shows fat herniating from the abdominal cavity into the thoracic cavity continuing to the hilum posterior to the left atrium. It causes mild mass effect on the posterior aspect of the left atrium.
This may represent a lipoma, less likely a liposarcoma or herniation of retroperitoneal fat without associated herniation of the stomach
Ashley Davidoff MD TheCommonVein.net
78 year old female with achalasia and likely chronic aspiration
There is a fatty infiltrate in the left upper lobe.
Note the dilated esophagus with air fluid levels
Ashley Davidoff MD TheCommonVein.net
134411c
82 year old female who treated her colds with Vaseline aspiration and subsequently developed lipoid pneumonia
CT scan shows a right lower lobe infiltrate involving the superior segment
Ashley Davidoff MD TheCommonVein.net
82 year old female with lipoid pneumonia from vaseline aspiration
Density measurements confirm an average of -117 Hounsfield units
Ashley Davidoff MD TheCommonVein.net
82 year old female who treated her colds with Vaseline aspiration and subsequently developed lipoid pneumonia
CT scan shows a left lower lobe fat containing infiltrate involving the superior segment
Ashley Davidoff MD TheCommonVein.net
82 year old female with lipoid pneumonia from vaseline aspiration
Density measurements confirm an average of -124 Hounsfield units
Ashley Davidoff MD TheCommonVein.net