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Joint Bone Spine
Volume 71, n° 6
pages 536-541 (novembre 2004)
Doi : 10.1016/j.jbspin.2004.04.006
Received : 12 Mars 2004 ;  accepted : 22 April 2004
Imaging study findings in elastofibroma dorsi

Jacques Malghem , Vincent Baudrez, Frédéric Lecouvet, Christian Lebon, Baudouin Maldague, Bruno Vande Berg
Radiology and Medical Imaging Unit, Saint-Luc University Hospitals, Catholic University of Louvain, Avenue Hippocrate, 10 B-1200 Brussels, Belgium 

*Corresponding author. Tel.: +32-2-764-2952; fax: +32-2-770-5574.

Elastofibroma dorsi is a tumor or pseudotumor typically located under the tip of the scapula. It is far from uncommon in older individuals. The mass contains both fibrous tissue and fatty tissue. Imaging studies can provide the definite diagnosis in many cases. Computed tomography (CT) and magnetic resonance imaging (MRI) are particularly effective, as they visualize the characteristic layered pattern of fatty tissue (low-density by CT, high-signal on T1 images and intermediate signal on T2 images by MRI) and fibrous tissue (similar to muscle in terms of density by CT and signal intensity by MRI). To a lesser extent, plain radiographs and ultrasonography identify a number of suggestive features (location and layered structure). When the lesion exhibits typical imaging features and produces no symptoms, as is usually the case, further investigations are probably unnecessary.

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Keywords : Elastofibroma, Chest wall, Scapula

© 2004  Éditions scientifiques et médicales Elsevier SAS. All Rights Reserved.