Thoracolithiasis: A case report

Radiology Service, Dallas VA Medical Center, VA North Texas Health Care System, Dallas, TX 75216, USA.
Clinical imaging (Impact Factor: 0.81). 05/2012; 36(3):228-30. DOI: 10.1016/j.clinimag.2011.08.023
Source: PubMed


We present a rare case of incidentally found mobile thoracolithiasis in a 76-year-old cirrhotic patient on serial computed tomography scans performed before and after transarterial chemoembolization for hepatocellular carcinoma. Mobility and calcification are the important clue to diagnosing this benign condition and avoiding unnecessary surgery.

1 Follower
3 Reads
  • Source
    Forensic Science Medicine and Pathology 02/2014; 10(3). DOI:10.1007/s12024-014-9542-y · 1.98 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Thoracolithiasis is the presence of one or more freely mobile pleural stones (with or without calcification) in the pleural space. They occur with a reported incidence of less than 0.1% and are benign and do not require intervention. Historically, they have led to unnecessary interventions - something unlikely in the era of multidetector computed tomography (CT). Thoracolithiasis should be included in the differential diagnosis of a single or multiple, mobile peripheral pulmonary nodules. Here, we review the imaging characteristics of a rare case of bilateral mobile thoracolithiasis.
    Journal of Radiology Case Reports 09/2014; 8(9):16-20. DOI:10.3941/jrcr.v8i9.1932
  • [Show abstract] [Hide abstract]
    ABSTRACT: A tumorlike condition of the pleura is any nonmalignant lesion of the pleura or within the pleural space that could be confused with a pleural tumor on initial imaging. Tumorlike conditions of the pleura are relatively rare compared with neoplastic lesions such as mesotheliomas and metastases. Imaging-based diagnosis of these conditions can be difficult due to the similarity of appearance. Thus, recognition of certain imaging patterns and interpretation of these patterns in the clinical context are important. Pleural endometriosis, thoracic splenosis, thoracolithiasis, foreign bodies, pleural pseudotumors and pleural plaques are significant examples of focal tumorlike conditions discussed in this article. Computed tomography is the mainstay imaging technique for the primary assessment of pleural disease, but other imaging methods, such as magnetic resonance imaging and positron-emission tomography, can be of great support in the diagnosis. Copyright © 2015 Elsevier Ltd. All rights reserved.
    Respiratory medicine 06/2015; DOI:10.1016/j.rmed.2015.06.004 · 3.09 Impact Factor