Thoracic endometriosis syndrome: CT and MRI features

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This paper reviews the CT and MRI imaging features of thoracic endometriosis syndrome to aid in diagnosis and characterization.

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Abstract

Thoracic endometriosis is considered to be rare, but is the most frequent form of extra-abdominopelvic endometriosis. Thoracic endometriosis syndrome affects women of reproductive age. Diagnosis is mainly based on clinical findings, which can include catamenial pneumothorax and haemothorax, non-catamenial endometriosis-related pneumothorax, catamenial haemoptysis, lung nodules, and isolated catamenial chest pain. Symptoms are typically cyclical and recurrent, with a right-sided predominance. Computed tomography (CT) is the first-line imaging method, but is poorly specific; therefore, its main role is to rule out other pulmonary diseases. However, in women with a typical clinical history, some key CT findings may help to confirm this often under-diagnosed syndrome. MRI can also assist with the diagnosis, by showing signal changes typical of haemorrhage within diaphragmatic or pleural lesions.

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Condition tags

endometriosisthoracic_endometriosis

MeSH descriptors

Endometriosis Thoracic Diseases Diagnosis, Differential Endometriosis Female Humans Magnetic Resonance Imaging Syndrome Thoracic Diseases Tomography, X-Ray Computed

Citation neighborhood

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References (34)

Cited by (50)

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europepmc
last seen: 2026-08-06T06:07:45.168820+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:18:40.923139+00:00
License: CC0 · commercial use OK