PMC4275815_01
(A) Computed tomography scan shows elastofibroma typical placement of bilateral periscapuler region. Axial T1-weighted MR images: (B) axial T-2 weighted MR images. (C) Magnetic resonance scan of both mass with striated appearance and multiple linear septae of alternating high and low signal intensity due to the interlacing of linear streaks of fat.
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Her thoracic MRI examination revealed noncapsulated and ovoid masses of 7 cm x 5 cm x 4 cm on the left and 5 cm x 5 cm x 4 cm on the right side in the subscapular region between the rhomboid and latissimus dorsi muscle groups, which were isointense with the surrounding muscle tissues and contained linear hyperintense areas in its internal structure (Fig. 1).
The typical location for bilateral elastofibroma dorsi in prone position and with slightly abducted arm.
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Under general anesthesia, both masses were totally excised with bilateral posterolateral subscapular incision with the patient lying in the prone position and with slightly abducted arm (Fig. 2).
Macroscopic appearance of surgical specimen.
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The masses were macroscopically noncapsulated, irregular and rubberlike (Fig. 3).