Presentation
Chest x-ray showed a hilar shadow. CT for further investigation.
Patient Data
Age: 70
Gender: Male
From the case:
Lung cancer invading the left atrium
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/59275/annotated_viewer_json?c=1669351363\u0026embed_domain=hackmd.io%2525252525252f%25252525252540yipuafecsl2jsu8smr5njq%2525252525252fbnjhjgjghjghjgh\u0026lang=us"}



Left hilar hypodense solid mass with spiculated outline with extension into the left atrium.
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/59282/annotated_viewer_json?c=1669351363\u0026embed_domain=hackmd.io%2525252525252f%25252525252540yipuafecsl2jsu8smr5njq%2525252525252fbnjhjgjghjghjgh\u0026lang=us"}



Yellow box/circle show the left hilar central lung cancer.
Case Discussion
An elderly male patient who was a heavy smoker presents with a left hilar opacity on x-ray. Further work up and biopsy revealed small cell carcinoma.