Asbestosis complicated by lung cancer

Case contributed by Hani Makky Al Salam

Presentation

Shortness of breath, history of asbestos exposure.

Patient Data

Age: 70 years
Gender: Male

August 2012

ct

Initial CT scan demonstrates a faint ground glass nodule of the right lower lobe.

April 2015

x_ray

Low lung volume with bilateral reticulations, bilateral pleural calcifications are noted.

April 2015

ct

Bilateral calcified and non-calcified pleural plaques. 

Mild centrilobular emphysema. Interstitial lung changes, more marked at the lung bases.

A nodule at the right lower lobe has interval enlarged.

PET CT June 2015

Nuclear medicine

Increase uptake of the right lower lobe nodule.

August 2015

ct

Further increase in the size of the right lower lobe nodule. 

November 2015

ct

Further increase in the size of the right lower lobe nodule, now demonstrates central lucency suggest possible cavitation. 

Case Discussion

Surgical pathology from right lower lobe segmentectomy: squamous cell carcinoma, non-keratinizing.

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