Lung cancer due to asbestos exposure

Case contributed by Stefan Tigges
Diagnosis almost certain

Presentation

Chronic cough and shortness of breath.

Patient Data

Age: 70 years.
Gender: Male

Left upper lobe mass and bilateral calcified pleural plaques left worse than right with involvement of both hemidiaphragms.

Confirms left upper lobe mass and bilateral calcified pleural plaques left worse than right with involvement of both hemidiaphragms. Mild centrilobular emphysema, small right pleural effusion, bilateral dependent atelectasis, acute appearing pulmonary embolism right middle and lower lobes. Mediastinal lymph nodes increased in number, some of which are mildly enlarged.

Case Discussion

The combination of calcified pleural plaques and a lung mass is highly suggestive of lung cancer related to prior asbestos exposure. Patients who smoke and were exposed to asbestos are at especially high risk of lung cancer.

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