Left lower lobe (retrocardiac) lung cancer

Case contributed by Henry Knipe
Diagnosis almost certain

Presentation

Chest pain.

Patient Data

Age: 70 years
Gender: Male

Large opacity projecting over the heart in the medial left lower zone. Cardiac silhouette is not enlarged. Hila are normal. No convincing mediastinal lymphadenopathy. 

FDG-18 PET-CT

Nuclear medicine

Large PET-avid mass in the posterior left lower lobe. No evidence of metastatic disease. 

Case Discussion

The patient proceeded to lower lobectomy and a pulmonary squamous cell carcinoma was confirmed. 

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