Abstract
Chest radiography is useful to evaluate the chest wall, pleura, and diaphragm, while magnetic resonance imaging (MRI) provide high-quality studies of the extraparenchymal extent of lesions residing in the superior sulcus (apical) region. As skeletal abnormalities are very difficult to detect, the individual bones must be carefully examined. Normal variants, unlike abnormalities, are often bilateral and reasonably symmetric, such that a side by side comparison is helpful. To help distinguish a lung mass from an extraparenchymal (pleural, diaphragmatic, or chest wall) mass, determination of the angle between the mass and the lung edge is often informative: acute for lung and obtuse for extraparenchymal (Fig. 1). With extraparenchymal lesions, it may be difficult to distinguish those originating in the pleura from those arising in the chest wall, as the shape can be similar; however, the presence of bone destruction indicates an extrapleural origin.
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Kelly, A., Sverzellati, N. (2015). Diseases of the Chest Wall, Pleura, and Diaphragm. In: Hodler, J., von Schulthess, G.K., Kubik-Huch, R.A., Zollikofer, C.L. (eds) Diseases of the Chest and Heart 2015–2018. Springer, Milano. https://doi.org/10.1007/978-88-470-5752-4_13
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DOI: https://doi.org/10.1007/978-88-470-5752-4_13
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