Lung carcinoma

Case contributed by Andrew Mark , 16 Oct 2016
Diagnosis certain
Changed by Henry Knipe, 16 Jan 2017

Updates to Case Attributes

Presentation was changed:
62yo Non-smoker presents with 2 week history of progressive shortness of breath and decreased appetite. Admitted to ICU for desaturation to the 80s on the floor.
Age changed from 62 to 60 years.
Body was changed:

Fluid was sent for analysis revealing exudative, lymphocyte predominant pleural fluid. Cytology consistent primary lung cancer. Patient

The patient was discharged from the ICU after placement of pleurex chest tube as the pleural effusion continued to re-accumulate at a fast rate. She was instructed to follow-up with the oncologist who had met with the patient while in the hospital. Of note, the patient, a non-smoker, was in her usual state of health just a month prior to hospital admission. This was the first respiratory problem she had had in her life, and she left the hospital with the diagnosis of primary lung carcinoma.

  • -<p>Fluid was sent for analysis revealing exudative, lymphocyte predominant pleural fluid. Cytology consistent primary lung cancer. Patient was discharged from the ICU after placement of pleurex chest tube as the pleural effusion continued to re-accumulate at a fast rate. She was instructed to follow-up with the oncologist who had met with the patient while in the hospital. Of note, the patient, a non-smoker, was in her usual state of health just a month prior to hospital admission. This was the first respiratory problem she had had in her life, and she left the hospital with diagnosis of primary lung carcinoma.</p>
  • +<p>Fluid was sent for analysis revealing exudative, lymphocyte predominant pleural fluid. Cytology consistent primary lung cancer.</p><p>The patient was discharged from the ICU after placement of pleurex chest tube as the pleural effusion continued to re-accumulate at a fast rate. She was instructed to follow-up with the oncologist who had met with the patient while in the hospital. Of note, the patient, a non-smoker, was in her usual state of health just a month prior to hospital admission. This was the first respiratory problem she had had in her life, and she left the hospital with the diagnosis of primary lung carcinoma.</p>

Systems changed:

  • Chest

Updates to Study Attributes

Findings was changed:

Large Left Tension Hydrothoraxleft tension hydrothorax causing mediastinal shift to the right.

Updates to Study Attributes

Findings was changed:

Large Left Pleural Effusionleft pleural effusion. Enlarged Left Hilar Lymph Nodesleft hilar lymph nodes. Large 2 x 7 cm Leftleft upper lobe mass.

Updates to Freetext Attributes

Description was changed:

ThoracenetesisThoracentesis removed some 2L2 L of translucent yellow-tan pleural fluid with no frank purulence or blood. CT of the chest with contrast was obtained immediately following tap.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.