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Lung cancer - left upper lobe

Case contributed by Dr Frank Gaillard

Presentation:

Short of breath

Patient Data:

Age: Adult
Gender: Female

Chest x-ray

Modality: X-ray

Chest x-ray (slightly rotated to the right) demonstrates a large opacity obliterating the left hilum. It is associated with some volume loss in the left hemithorax and what appears to be a pleural effusion. 

CT chest

Modality: CT

Selected images from a CT of the chest and upper abdomen confirms a large mass occupying the majority of the left upper lobe, with distal collapse. A large left and small right pleural effusion is also present with resulting dependent atelectasis of parts of the lower lobe. 

Mediastinal nodal enlargement is present. The adrenal glands do not appear clearly abnormal on the images provided. 

Case Discussion:

A left upper lobe lung primary carcinoma (squamous cell carcinoma) was confirmed histologically. 

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