The radiologic appearance of intercostal muscle flap

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The radiologic appearance of intercostal muscle flap Boon Han Kwek, FRCR, John C Wain, MD, Suzanne L Aquino, MD The Annals of Thoracic Surgery Volume 78, Issue 2, Pages 432-435 (August 2004) DOI: 10.1016/j.athoracsur.2004.01.018

Fig 1 Computed tomography scans of a 49-year-old woman who had undergone right upper lobectomy and intercostal muscle flap (ICMF) for lung cancer 6 years earlier. (A) Image of thorax shows ICMF as a fat density stripe with adjacent calcification extending from the posterolateral aspect of a rib (arrow). (B) Centrally, the ICMF lies adjacent to the right main bronchus (arrow) indicating the site of surgery. The Annals of Thoracic Surgery 2004 78, 432-435DOI: (10.1016/j.athoracsur.2004.01.018)

Fig 2 Computed tomography scan of a 62-year-old woman with lung cancer who had undergone a right pneumonectomy 9 months earlier. (A) The intercostal muscle flap (arrows) in the pneumonectomy space manifests as a single linear calcification with surrounding low attenuation fat. (B) Axial 2-[18F]-fluoro-2-deoxy-D-glucose (FDG) positron emission tomography scan shows normal FDG uptake in the region of the intercostal muscle flap (arrows) that is the same as background soft tissue uptake. The Annals of Thoracic Surgery 2004 78, 432-435DOI: (10.1016/j.athoracsur.2004.01.018)

Fig 3 Computed tomography scan of a 60-year-old man who underwent right upper lobectomy for lung cancer. The intercostal muscle flap (arrow) appears as two parallel linear calcifications that resemble a thoracostomy tube. The Annals of Thoracic Surgery 2004 78, 432-435DOI: (10.1016/j.athoracsur.2004.01.018)

Fig 4 Computed tomography scan of a 51-year-old man with lung cancer who had undergone a right upper lobectomy 18 months earlier. The intercostal muscle flap (arrow) contains two thick linear ossifications that resemble an intrathoracic rib. The Annals of Thoracic Surgery 2004 78, 432-435DOI: (10.1016/j.athoracsur.2004.01.018)