Left lower lobe lung cancer
Smoker. Cough. Infection?
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Mass projected behind the left heart in the left lower lobe.
Right lung clear.
Even in a moderately sized radiology department tens if not hundreds of chest x-rays are performed daily.
A good deal of these patients will be smokers with an increased risk of lung cancer.
Always look behind the heart when assessing the chest x-ray. Cancers and other pathology may subtly lurk behind the density of the heart.
Staging CT of the chest and abdomen will follow along with bronchoscopy.