Cavitating lung lesion

Case contributed by Dr Ian Bickle

Presentation

Young immunosupressed patient with a cough and fever.

Patient Data

Age: 40 years old
Gender: Male
X-ray

Large right upper lobe cavitating lung mass with a thick wall and air-fluid level within.

The remainder of the lungs are normal.

Case Discussion

A broad differential CAVITY exists for the causes of a cavitating lung lesion.  This ranges from malignancy to infection.

This was a large lung abscess - these typically occur in the immunosuppressed and/or those with background lung disease.

Large lesions can erode into pulmonary vessels causing hemoptysis, which can be catastrophic.

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Case information

rID: 30067
Published: 16th Jul 2014
Last edited: 10th Sep 2019
System: Chest
Inclusion in quiz mode: Included

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