Chest wall ultrasound can be used to identify and characterize masses found on the chest wall. Benign lesions like lipomas appear as well-defined oval masses, while malignant lymph nodes are typically hypoechoic without hilar structures and show irregular vascularization. Fractured ribs and sternum can also be visualized, such as a 6mm step fracture of the sternum from a car accident. Diseases like multiple myeloma or lung cancers that have spread to the chest wall will appear as osteolytic lesions or irregularly vascularized tumors invading the chest wall.

2. Chest Wall Ultrasound
Gamal Rabie Agmy, MD,FCCP
Professor of Chest Diseases, Assiut university
ERS National Delegate of Egypt

9. Palpaple mass at back. Oval
capsulated lesion – typical lipoma.

10. Benign Lymphadenopathy

11. Malignant LN

12. Malignant LN: Hypoechoic, no hilar sign, irregular
vascularization

14. Fracture Rib

15. Sternum fracture caused by a car accident. +
-+ Six mm step. H= organized hematoma.

17. Osteolytic lesions:
Multiple myeloma: Intense irregular vascularization

19. Invasion by lung cancer:
Pancost tumor invading the chest wall, irregular vascularization

20. Peripheral lung tumour invading chest wall