Lung adenocarcinoma (multifocal)

Case contributed by Dr David Pryde

Presentation

Presented with ongoing cough.

Patient Data

Age: 85 years
Gender: Male
X-ray

Bilateral areas of lung consolidation right > left. NAD otherwise.

Several areas of dense lung consolidation bilaterally. The images show no hilar or mediastinal lymphadenopathy. An incidental left renal cyst is noted.

Case Discussion

The patient presented with the above chest x-ray findings of areas of bilateral consolidation. A repeat chest x-ray (not shown) after 18 days of treatment was identical. Suspicion of other pathology necessitated further assessment with CT imaging which was done 28 days after presentation. 

Subsequent biopsy proved multifocal adenocarcinoma.

This case reinforces the necessity to follow up such cases until resolution occurs. In appropriate cases, and to ensure referrer compliance, the report might well read, "Follow-up imagining is recommended in order to exclude underlying neoplasia."

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Case information

rID: 49928
Case created: 10th Dec 2016
Last edited: 19th May 2017
Systems: Chest, Oncology
Inclusion in quiz mode: Included

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