Lung cancer on shoulder film - FRCR viva film

Case contributed by Dr Ian Bickle


GP referral of an elderly male with unremitting shoulder pain.

Patient Data

Age: 75
Gender: Male

Large mass centred on the right hilum, which is partially visualised on the film.

The shoulder is normal.

Case Discussion

Classic FRCR viva or 2B rapid reporting film.

a. Pathology on the periphery of film.

b. Represetation of findings to query the candidates next management advice

Eg, I would report the film as an ALERT to the GP with advise for a chest x-ray to be performed and prompt referral to a respiratory physcian for further assessment.

c. In the case of a viva film, a CT may follow and further description required and staging of the tumour to be given.

Eg,  CT shows a T4,N1,M1 (liver) lung cancer.   Referral to Lung Cancer MDT indicated.


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Case information

rID: 33442
Case created: 13th Jan 2015
Last edited: 11th Sep 2015
Tag: rdgh
Inclusion in quiz mode: Included

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