Adenocarcinoma of the lung

Case contributed by Dr Hani Makky Al Salam

Presentation

Chest pain

Patient Data

Age: 55 years
Gender: Female
X-ray

There is an abnormal right hilar opacity associated with right middle lobe collapse.

CT

There is a soft tissue lesion at the right hilum with possible invasion of the left atrium or alternatively the left atrium lesion could represent a bland thrombus. The right middle lobe is collapsed as there is obstruction of the right middle lobe. The collapsed right middle lobe demonstrates multiple calcified densities. There are as well multiple calcified densities of the other lobes of both lungs, this could be related to occupational exposure or previous infection.  

PET CT SCAN

Nuclear medicine

High FDG uptake of the right hilar mass.

Case Discussion

Pathology: Adenocarcinoma with invasion of the right inferior pulmonary vein. No malignancy in the right atrium or pericardium.

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