Presentation
Cough, bilateral knee pain and clubbing.
Patient Data
Age: 60 years.
Gender: Male
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/120079/annotated_viewer_json?lang=us"}
Symmetric periosteal thickening both distal femurs.
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/120080/annotated_viewer_json?lang=us"}
Posterior segment right upper lobe nodule.
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/120081/annotated_viewer_json?lang=us"}
Irregular right upper lobe nodule, right paratracheal lymphadenopathy, left adrenal gland mass.
Case Discussion
A diffuse periosteal reaction and a history of clubbing should suggest hypertrophic osteoarthropathy, in this case secondary to lung cancer which has already spread to mediastinal lymph nodes and the left adrenal gland.
Unable to process the form. Check for errors and try again.