Lung cancer - hilum overlay sign

Case contributed by Ian Bickle
Diagnosis almost certain

Presentation

Re-admission with shortness of breath.

Patient Data

Age: 65 years
Gender: Female
x-ray

Large mass in the right hemithorax.   The right paratracheal stripe remains despite the mass extending to the midline indicating the mass does not lie in the mediastinum.

The right hilum is also clearly delineated projected over the mass, indicating this is not a hilar mass.

Left lung clear.

Heart size normal.

Case Discussion

This was a proven lung malignancy on biopsy - the lung mass is large and illustrates the hilum overlay sign well.

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