Dense hilum sign

Case contributed by Dr Henry Knipe

Presentation

Cough for a few weeks.

Patient Data

Age: 60 years
Gender: Male
Modality: X-ray

Right hilum is dense and enlarged compared to the left. Elevated right hemidiaphragm suggests volume loss or phrenic nerve palsy. 

Modality: CT

Superior segment right lower lobe mass extends to the hilum.

Right hilar and subcarinal lymphadenopathy.

Right adrenal mass.

Case Discussion

The CT findings almost certainly represent a metastatic lung cancer, but the patient did not want any further investigation or treatment and the histology is unknown. 

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Case Information

rID: 47752
Case created: 1st Sep 2016
Last edited: 15th Sep 2016
System: Chest
Inclusion in quiz mode: Included

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