Carcinoma of the lung

Case contributed by Chris O'Donnell
Diagnosis almost certain

Presentation

Chest pain. Heavy smoker.

Patient Data

Age: 65 years
Gender: Female

Chest radiograph

x-ray

Highly unusual mass with a horizontal inferior border in a patient with signs of chronic airways obstruction and bullous emphysema.

CT Chest (selected images)

ct

Gross bullous emphysema with a spiculated mass in the posterior segment of the right upper lobe abutting and limited by the oblique fissure. This is unusual for cancer i.e. it tends to grow inexorably and to displace/invade the fissure rather than be limited by it.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.