Reason: eval paravertebral fatty lesion, c/f liposarcoma History: pneumonia, sepsis CHEST:LUNGS AND PLEURA: Moderate right and small left pleural effusion.MEDIASTINUM AND HILA: See below.CHEST WALL: Right extrapleural paravertebral soft tissue lesion with infiltrative fat demonstrates isointense signal on T2-weighted images and no significant enhancement on postcontrast images. This lesion is not associated with the neural foramina and there is no significant remodeling of the adjacent bone. This lesion measures 3.5 x 1.8 cm (5/50).OTHER: 5 mm cystic lesion in the pancreatic tail is nonspecific. Degenerative changes of the visualized spine.
1.Right paravertebral nonenhancing soft tissue lesion is of uncertain etiology but most likely benign. One-year follow-up CT with IV contrast is recommended to confirm stability.2.Moderate right and small pleural effusion.3.Nonspecific punctate cystic lesion in the pancreatic tail, most likely represents a small side branch IPMN and is of no clinical significance.