Presentation
Smoker with incidental right middle lobe nodule in CT scan of the abdomen evaluating a pelvi-abdominal lesion.
Patient Data
Age: 60 years
Gender: Female
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Frontal
Small nodule at the right middle lobe, best appreciated on lateral radiography.
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Axial C+ arterial phase
Right middle lobe nodule with spiculation. Moderate centrilobular emphysema.
Case Discussion
Some nodules are hard to appreciate on frontal projection solely. This case emphasizes the importance of lateral radiography for correlation and confident diagnosis of an otherwise subtle finding.
Pathologically proven adenocarcinoma.
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