Cavitating lung cancer

Case contributed by A.Prof Frank Gaillard

Presentation

Loss of weight. Cough.

Patient Data

Age: 60 years
Gender: Male
X-ray

There is a large cavitating mass in the left upper lobe adjacent to the oblique fissure.  The prominent air-fluid level is best seen on the lateral radiograph.

Annotated image

Annotated image

Irregular opacity (yellow dotted line) has a central air density lucency (red dotted line) with a horizontal inferior margin (blue arrows) consistent with an air-fluid level, indicative of cavitation. 

Case Discussion

This patient has a solitary cavitating mass with an air-fluid level.  It is peripheral and therefore likely to be out of the reach of the bronchoscopist.

The patient went on to have CT and biopsy that confirmed the presence of a squamous cell lung cancer. 

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Case information

rID: 19639
Case created: 30th Sep 2012
Last edited: 30th Jan 2017
Systems: Chest, Oncology
Inclusion in quiz mode: Included

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