Fig. 27
From: Non-neoplastic pathology at the crossroads between neck imaging and cardiothoracic imaging

Madelung disease. Axial CT image of a patient with history of alcoholism presenting with shortness of breath demonstrates diffuse symmetric unencapsulated fatty accumulation of the neck (arrows) and upper back (dashed arrow). In the given clinical context, this is most consistent with Madelung disease or benign symmetric lipomatosis