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Paraseptal emphysema and subpleural bullae

Case contributed by Augusto César Vieira Teixeira
Diagnosis certain

Presentation

History of smoking with shortness of breath

Patient Data

Age: 60 years
Gender: Male

Paraseptal emphysema and also bullae are seen in the periphery of the secondary pulmonary lobules.

Approximately 4 cm spiculated mass in the left upper lobe abutting the aortic arch (allowing for the lack of mediastinal windows).

Case Discussion

Given the history of smoking and the emphysematous changes in the lungs the left upper lobe mass is likely to represent lung cancer.

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