Carcinoma of the lung

Case contributed by Dr Chris O'Donnell

Presentation

Chest pain. Heavy smoker.

Patient Data

Age: 65 years
Gender: Female
X-ray

Chest radiograph

Highly unusual mass with a horizontal inferior border in a patient with signs of chronic airways obstruction and bullous emphysema.

CT

CT Chest (selected images)

Gross bullous emphysema with a spiculated mass in the posterior segment of the right upper lobe abutting and limited by the oblique fissure. This is unusual for cancer i.e. it tends to grow inexorably and to displace/invade the fissure rather than be limited by it.

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Case information

rID: 17945
Published: 27th May 2012
Last edited: 8th Apr 2019
System: Chest
Inclusion in quiz mode: Included

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