Presentation
Left shoulder pain. Degenerative?
Patient Data
Age: 70 years
Gender: Male
From the case:
Lung cancer
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No bone or joint abnormality.
Left lower lobe mass.
From the case:
Lung cancer
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4cm left lower lobe mass.
Heart size normal. Lungs clear.
Normal mediastinal contours.
Case Discussion
This turned out to be a primary lung malignancy.
The radiographer accidently made this easier for the reporter, by having a generous 'coning' on the final shoulder view.
It was visible on the routine AP shoulder albeit could have escaped one's attention or thought to be the cardiac outline.
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