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Mass on thoracic imaging

MedGen UID:
1788826
•Concept ID:
C5539833
•
Finding
HPO: HP:0033822

Definition

A mass is any pulmonary, pleural, or mediastinal lesion seen on chest radiographs as an opacity greater than 3 cm in diameter (without regard to contour, border, or density characteristics). Mass usually implies a solid or partly solid opacity. CT allows more exact evaluation of size, location, attenuation, and other features. [from HPO]

Professional guidelines

PubMed

International consensus statement on nomenclature and classification of the congenital bicuspid aortic valve and its aortopathy, for clinical, surgical, interventional and research purposes.
Michelena HI, Della Corte A, Evangelista A, Maleszewski JJ, Edwards WD, Roman MJ, Devereux RB, Fernández B, Asch FM, Barker AJ, Sierra-Galan LM, De Kerchove L, Fernandes SM, Fedak PWM, Girdauskas E, Delgado V, Abbara S, Lansac E, Prakash SK, Bissell MM, Popescu BA, Hope MD, Sitges M, Thourani VH, Pibarot P, Chandrasekaran K, Lancellotti P, Borger MA, Forrest JK, Webb J, Milewicz DM, Makkar R, Leon MB, Sanders SP, Markl M, Ferrari VA, Roberts WC, Song JK, Blanke P, White CS, Siu S, Svensson LG, Braverman AC, Bavaria J, Sundt TM, El Khoury G, De Paulis R, Enriquez-Sarano M, Bax JJ, Otto CM, Schäfers HJ
J Thorac Cardiovasc Surg 2021 Sep;162(3):e383-e414. Epub 2021 Jul 22 doi: 10.1016/j.jtcvs.2021.06.019. PMID: 34304896
2021 The American Association for Thoracic Surgery expert consensus document: Surgical treatment of acute type A aortic dissection.
Malaisrie SC, Szeto WY, Halas M, Girardi LN, Coselli JS, Sundt TM 3rd, Chen EP, Fischbein MP, Gleason TG, Okita Y, Ouzounian M, Patel HJ, Roselli EE, Shrestha ML, Svensson LG, Moon MR; AATS Clinical Practice Standards Committee: Adult Cardiac Surgery
J Thorac Cardiovasc Surg 2021 Sep;162(3):735-758.e2. Epub 2021 Apr 30 doi: 10.1016/j.jtcvs.2021.04.053. PMID: 34112502
Guidelines for Management of Incidental Pulmonary Nodules Detected on CT Images: From the Fleischner Society 2017.
MacMahon H, Naidich DP, Goo JM, Lee KS, Leung ANC, Mayo JR, Mehta AC, Ohno Y, Powell CA, Prokop M, Rubin GD, Schaefer-Prokop CM, Travis WD, Van Schil PE, Bankier AA
Radiology 2017 Jul;284(1):228-243. Epub 2017 Feb 23 doi: 10.1148/radiol.2017161659. PMID: 28240562

Recent clinical studies

Etiology

Follow-up strategies for patients with splenic trauma managed non-operatively: the 2022 World Society of Emergency Surgery consensus document.
Podda M, De Simone B, Ceresoli M, Virdis F, Favi F, Wiik Larsen J, Coccolini F, Sartelli M, Pararas N, Beka SG, Bonavina L, Bova R, Pisanu A, Abu-Zidan F, Balogh Z, Chiara O, Wani I, Stahel P, Di Saverio S, Scalea T, Soreide K, Sakakushev B, Amico F, Martino C, Hecker A, de'Angelis N, Chirica M, Galante J, Kirkpatrick A, Pikoulis E, Kluger Y, Bensard D, Ansaloni L, Fraga G, Civil I, Tebala GD, Di Carlo I, Cui Y, Coimbra R, Agnoletti V, Sall I, Tan E, Picetti E, Litvin A, Damaskos D, Inaba K, Leung J, Maier R, Biffl W, Leppaniemi A, Moore E, Gurusamy K, Catena F
World J Emerg Surg 2022 Oct 12;17(1):52. doi: 10.1186/s13017-022-00457-5. PMID: 36224617Free PMC Article
Thoracic Mass Lesions on Imaging: Beware of Tuberculosis Cases.
Meteroglu F, Sahin A
J Coll Physicians Surg Pak 2021 Dec;31(12):1509-1510. doi: 10.29271/jcpsp.2021.12.1509. PMID: 34794299
Vertebral compression fractures: Still an unpredictable aspect of osteoporosis.
Kutsal FY, Ergin Ergani GO
Turk J Med Sci 2021 Apr 30;51(2):393-399. doi: 10.3906/sag-2005-315. PMID: 32967415Free PMC Article
Central artery stiffness and thoracic aortopathy.
Humphrey JD, Tellides G
Am J Physiol Heart Circ Physiol 2019 Jan 1;316(1):H169-H182. Epub 2018 Nov 9 doi: 10.1152/ajpheart.00205.2018. PMID: 30412443Free PMC Article
Guidance for the treatment of deep vein thrombosis and pulmonary embolism.
Streiff MB, Agnelli G, Connors JM, Crowther M, Eichinger S, Lopes R, McBane RD, Moll S, Ansell J
J Thromb Thrombolysis 2016 Jan;41(1):32-67. doi: 10.1007/s11239-015-1317-0. PMID: 26780738Free PMC Article

Diagnosis

Palpable pediatric chest wall masses.
Ngo AV, Kim HHR, Maloney E, Otjen JP, Iyer RS, Menashe SJ, Thapa M
Pediatr Radiol 2022 Sep;52(10):1963-1973. Epub 2022 Mar 22 doi: 10.1007/s00247-022-05323-9. PMID: 35316339
Thoracic Mass Lesions on Imaging: Beware of Tuberculosis Cases.
Meteroglu F, Sahin A
J Coll Physicians Surg Pak 2021 Dec;31(12):1509-1510. doi: 10.29271/jcpsp.2021.12.1509. PMID: 34794299
Thymic Epithelial Neoplasms: Radiologic-Pathologic Correlation.
Lichtenberger JP 3rd, Carter BW, Fisher DA, Parker RF, Peterson PG
Radiol Clin North Am 2021 Mar;59(2):169-182. Epub 2021 Jan 9 doi: 10.1016/j.rcl.2020.11.005. PMID: 33551079
Guidance for the treatment of deep vein thrombosis and pulmonary embolism.
Streiff MB, Agnelli G, Connors JM, Crowther M, Eichinger S, Lopes R, McBane RD, Moll S, Ansell J
J Thromb Thrombolysis 2016 Jan;41(1):32-67. doi: 10.1007/s11239-015-1317-0. PMID: 26780738Free PMC Article
Pulmonary cryptococcosis.
Patz EF Jr, Goodman PC
J Thorac Imaging 1992 Sep;7(4):51-5. doi: 10.1097/00005382-199209000-00008. PMID: 1404545

Therapy

Lung cancer screening.
Adams SJ, Stone E, Baldwin DR, Vliegenthart R, Lee P, Fintelmann FJ
Lancet 2023 Feb 4;401(10374):390-408. Epub 2022 Dec 20 doi: 10.1016/S0140-6736(22)01694-4. PMID: 36563698
Breast cancer screening in average and high-risk women.
Rahman WT, Helvie MA
Best Pract Res Clin Obstet Gynaecol 2022 Sep;83:3-14. Epub 2021 Nov 19 doi: 10.1016/j.bpobgyn.2021.11.007. PMID: 34903436
Update on Lung Cancer Screening.
Brownlee AR, Donington JS
Semin Respir Crit Care Med 2020 Jun;41(3):447-452. Epub 2020 May 25 doi: 10.1055/s-0039-3400480. PMID: 32450597
The effect of sacubitril/valsartan compared to olmesartan on cardiovascular remodelling in subjects with essential hypertension: the results of a randomized, double-blind, active-controlled study.
Schmieder RE, Wagner F, Mayr M, Delles C, Ott C, Keicher C, Hrabak-Paar M, Heye T, Aichner S, Khder Y, Yates D, Albrecht D, Langenickel T, Freyhardt P, Janka R, Bremerich J
Eur Heart J 2017 Nov 21;38(44):3308-3317. doi: 10.1093/eurheartj/ehx525. PMID: 29029087
Guidance for the treatment of deep vein thrombosis and pulmonary embolism.
Streiff MB, Agnelli G, Connors JM, Crowther M, Eichinger S, Lopes R, McBane RD, Moll S, Ansell J
J Thromb Thrombolysis 2016 Jan;41(1):32-67. doi: 10.1007/s11239-015-1317-0. PMID: 26780738Free PMC Article

Prognosis

Radiology: Cardiothoracic Imaging Highlights 2023.
Aquino GJ, Mastrodicasa D, Alabed S, Abohashem S, Wen L, Gill RR, Bardo DME, Abbara S, Hanneman K
Radiol Cardiothorac Imaging 2024 Apr;6(2):e240020. doi: 10.1148/ryct.240020. PMID: 38602468Free PMC Article
Follow-up strategies for patients with splenic trauma managed non-operatively: the 2022 World Society of Emergency Surgery consensus document.
Podda M, De Simone B, Ceresoli M, Virdis F, Favi F, Wiik Larsen J, Coccolini F, Sartelli M, Pararas N, Beka SG, Bonavina L, Bova R, Pisanu A, Abu-Zidan F, Balogh Z, Chiara O, Wani I, Stahel P, Di Saverio S, Scalea T, Soreide K, Sakakushev B, Amico F, Martino C, Hecker A, de'Angelis N, Chirica M, Galante J, Kirkpatrick A, Pikoulis E, Kluger Y, Bensard D, Ansaloni L, Fraga G, Civil I, Tebala GD, Di Carlo I, Cui Y, Coimbra R, Agnoletti V, Sall I, Tan E, Picetti E, Litvin A, Damaskos D, Inaba K, Leung J, Maier R, Biffl W, Leppaniemi A, Moore E, Gurusamy K, Catena F
World J Emerg Surg 2022 Oct 12;17(1):52. doi: 10.1186/s13017-022-00457-5. PMID: 36224617Free PMC Article
Five-Year Outcomes of the Danish Cardiovascular Screening (DANCAVAS) Trial.
Lindholt JS, Søgaard R, Rasmussen LM, Mejldal A, Lambrechtsen J, Steffensen FH, Frost L, Egstrup K, Urbonaviciene G, Busk M, Diederichsen ACP
N Engl J Med 2022 Oct 13;387(15):1385-1394. Epub 2022 Aug 27 doi: 10.1056/NEJMoa2208681. PMID: 36027560
An overview of retrosternal goiter.
Knobel M
J Endocrinol Invest 2021 Apr;44(4):679-691. Epub 2020 Aug 11 doi: 10.1007/s40618-020-01391-6. PMID: 32780357
Vertebral chondroblastoma.
Ilaslan H, Sundaram M, Unni KK
Skeletal Radiol 2003 Feb;32(2):66-71. Epub 2002 Nov 21 doi: 10.1007/s00256-002-0599-4. PMID: 12589483

Clinical prediction guides

Radiology: Cardiothoracic Imaging Highlights 2023.
Aquino GJ, Mastrodicasa D, Alabed S, Abohashem S, Wen L, Gill RR, Bardo DME, Abbara S, Hanneman K
Radiol Cardiothorac Imaging 2024 Apr;6(2):e240020. doi: 10.1148/ryct.240020. PMID: 38602468Free PMC Article
Development of a Prediction Model for Ascending Aortic Diameter Among Asymptomatic Individuals.
Pirruccello JP, Lin H, Khurshid S, Nekoui M, Weng LC, Vasan RS, Isselbacher EM, Benjamin EJ, Lubitz SA, Lindsay ME, Ellinor PT
JAMA 2022 Nov 15;328(19):1935-1944. doi: 10.1001/jama.2022.19701. PMID: 36378208Free PMC Article
International consensus statement on nomenclature and classification of the congenital bicuspid aortic valve and its aortopathy, for clinical, surgical, interventional and research purposes.
Michelena HI, Della Corte A, Evangelista A, Maleszewski JJ, Edwards WD, Roman MJ, Devereux RB, Fernández B, Asch FM, Barker AJ, Sierra-Galan LM, De Kerchove L, Fernandes SM, Fedak PWM, Girdauskas E, Delgado V, Abbara S, Lansac E, Prakash SK, Bissell MM, Popescu BA, Hope MD, Sitges M, Thourani VH, Pibarot P, Chandrasekaran K, Lancellotti P, Borger MA, Forrest JK, Webb J, Milewicz DM, Makkar R, Leon MB, Sanders SP, Markl M, Ferrari VA, Roberts WC, Song JK, Blanke P, White CS, Siu S, Svensson LG, Braverman AC, Bavaria J, Sundt TM, El Khoury G, De Paulis R, Enriquez-Sarano M, Bax JJ, Otto CM, Schäfers HJ
J Thorac Cardiovasc Surg 2021 Sep;162(3):e383-e414. Epub 2021 Jul 22 doi: 10.1016/j.jtcvs.2021.06.019. PMID: 34304896
Guidance for the treatment of deep vein thrombosis and pulmonary embolism.
Streiff MB, Agnelli G, Connors JM, Crowther M, Eichinger S, Lopes R, McBane RD, Moll S, Ansell J
J Thromb Thrombolysis 2016 Jan;41(1):32-67. doi: 10.1007/s11239-015-1317-0. PMID: 26780738Free PMC Article
Pulmonary cryptococcosis.
Patz EF Jr, Goodman PC
J Thorac Imaging 1992 Sep;7(4):51-5. doi: 10.1097/00005382-199209000-00008. PMID: 1404545

Recent systematic reviews

Scoping review of radiologic assessment and prognostic impact of skeletal muscle sarcopenia in patients undergoing endovascular repair for aortic disease.
Mezzetto L, D'Oria M, Mani K, Scali S, Bastos Gonçalves F, Trimarchi S, Budtz-Lilly J, DeMartino R, Veraldi G, Mastrorilli D, Calvagna C, Grando B, Bissacco D, Lepidi S
J Vasc Surg 2022 Nov;76(5):1407-1416. Epub 2022 Jun 3 doi: 10.1016/j.jvs.2022.05.005. PMID: 35667604Free PMC Article
Cardiac and Aortic Modifications After Endovascular Repair for Blunt Thoracic Aortic Injury: A Systematic Review.
Mandigers TJ, Bissacco D, Domanin M, D'Alessio I, Tolva VS, Piffaretti G, van Herwaarden JA, Trimarchi S
Eur J Vasc Endovasc Surg 2022 Aug-Sep;64(2-3):176-187. Epub 2022 May 7 doi: 10.1016/j.ejvs.2022.05.004. PMID: 35537638
Extrapelvic Endometriosis: A Systematic Review.
Andres MP, Arcoverde FVL, Souza CCC, Fernandes LFC, Abrão MS, Kho RM
J Minim Invasive Gynecol 2020 Feb;27(2):373-389. Epub 2019 Oct 13 doi: 10.1016/j.jmig.2019.10.004. PMID: 31618674
Stenting of Subclavian Artery True and False Aneurysms: A Systematic Review.
Maskanakis A, Patelis N, Moris D, Tsilimigras DI, Schizas D, Diakomi M, Bakoyiannis C, Georgopoulos S, Klonaris C, Liakakos T
Ann Vasc Surg 2018 Feb;47:291-304. Epub 2017 Sep 6 doi: 10.1016/j.avsg.2017.08.013. PMID: 28887261
Psychological Burden Associated With Lung Cancer Screening: A Systematic Review.
Wu GX, Raz DJ, Brown L, Sun V
Clin Lung Cancer 2016 Sep;17(5):315-324. Epub 2016 Mar 30 doi: 10.1016/j.cllc.2016.03.007. PMID: 27130469Free PMC Article

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