Lung adenocarcinoma - multifocal

Case contributed by Dr David Pryde


Presented with ongoing cough.

Patient Data

Age: 85 years
Gender: Male

Chest radiograph

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


CT Chest

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 imaging is recommended in order to exclude underlying neoplasia."

PlayAdd to Share

Case information

rID: 49928
Published: 18th May 2017
Last edited: 16th Dec 2018
System: Chest, Oncology
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.