Keywords:
MR, PET, CT, Thorax, Mediastinum, Computer Applications-Detection, diagnosis, Biopsy, Education and training
Authors:
S. Singh, S. Karthik, A. L. Johnstone, M. Darby; Leeds/UK
DOI:
10.1594/esti2015/P-0004
Conclusion
Although these lesions are rare in themselves,
they are encountered not too infrequently in our large tertiary centre MDT.
Such cases pose a diagnostic and therapeutic challenge,
in part,
due to their relative low incidence.
Although there is frequent overlap in the CT appearance of many of these lesions,
some have characteristic imaging features that can suggest a specific diagnosis.
PET CT is useful to rule out the metastatic disease in malignancy.
MRI has limited role in thoracic wall lesions although its usefulness in characterisation of cystic lesions remains valuable. Whilst image guided biopsy has a huge role in establishing diagnosis,
occasionally this maybe contraindicated or unnecessary at times due to presence of typical imaging features .
Imaging also plays a vital role in evaluating treatment follow up and prognostic planning.