Presentation
Shortness of breath.
Patient Data
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Large heterogeneous subcarinal mass invades the left atrium and occludes the right inferior pulmonary vein and bronchus intermedius. Bronchial occlusion results in endobronchial impaction right lower lobe, venous occlusion impedes venous return resulting in increased septal lines. Multiple enlarged mediastinal lymph nodes, and mild paraseptal emphysema. Right adrenal gland mass.
Case Discussion
Small cell lung cancers such as this one are typically central and tend to invade adjacent structures. These cancers tend to be advanced at presentation: in this case, there was a right adrenal gland metastasis, making this a stage 4 lung cancer.