Dense hilum sign

Case contributed by Anil Kumar Geetha Virupakshappa
Diagnosis certain

Presentation

Known smoker presents with cough for 3 months.

Patient Data

Age: 60 years
Gender: Male
x-ray
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Info

The right hilum is denser than the left.

The normal outline of the right hilar vessels is partly preserved.

ct
This study is a stack
Axial C+
arterial phase
This study is a stack
Sagittal C+
arterial phase
This study is a stack
Coronal C+ portal
venous phase
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There is a paramediastinal right lower lobe soft tissue mass posterior to the right hilum. On soft tissue windows, the border appears microlobulated.

There are enlarged mediastinal and right hilar lymph nodes.

Case Discussion

This is a histologically confirmed case of non-small cell carcinoma favouring adenocarcinoma.

This case shows the importance of dense hilum sign.

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