Cavitating pulmonary nodule - lung cancer

Case contributed by Ahmed Abdrabou

Presentation

Heavy smoker complained of chest pain and dyspnea.

Patient Data

Age: 50 years
Gender: Male

Irregular thick walled subpleural cavity filled with air is seen in the right upper lung lobe with adjacent pleural extension. There is a background of panlobular emphysema of both lungs more in the upper lobes.

Two hepatic focal lesions detected at upper abdominal cuts.

Case Discussion

Transthoracic needle biopsy revealed lung adenocarcinoma. The tumor size was 3 cm in the greatest dimension and hence staged as T1b. The hepatic focal lesions are proved later to be hemangiomas.

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