Metachronous lung cancer post-pneumonectomy

Case contributed by Chris O'Donnell , 31 Jan 2017
Diagnosis almost certain
Changed by Bruno Di Muzio, 16 Dec 2018

Updates to Study Attributes

Caption was added:
Chest radiographs
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Figure 1 (current presentation) - Typical features of right pneumonectomy.  Displacement of mediastinal structures to the right.  The left upper lobe of the lung has herniated to the right and is obscured by the vertebral column thus the mass lesion is barely visible through the head of the left clavicle.

Figure 2 (7-years-ago).

Images Changes:

Image X-ray (Frontal) ( update )

Description was removed:
Examination performed 7 years prior to presentation

Image X-ray (Frontal) ( update )

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Current presentation

Updates to Study Attributes

Caption was added:
CT Chest
Images Changes:

Image 4 CT (lung window) ( update )

Position was set to .

Image 6 CT (bone window) ( update )

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Updates to Case Attributes

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Pneumonectomy causes marked distoriondistortion to the medistinum with hyperinflation of the residual lung, often herniating to the contra-lateral hemithorax anteriorly.  In In this case, a cancer has developed in that herniated lung and is obscured by the vertebral column on the anterior chest radiograph, thus very difficult to identify.

  • -<p>Pneumonectomy causes marked distorion to the medistinum with hyperinflation of the residual lung, often herniating to the contra-lateral hemithorax anteriorly.  In this case a cancer has developed in that herniated lung and is obscured by the vertebral column on the anterior chest radiograph, thus very difficult to identify.</p>
  • +<p>Pneumonectomy causes marked distortion to the medistinum with hyperinflation of the residual lung, often herniating to the contra-lateral hemithorax anteriorly. In this case, a cancer has developed in that herniated lung and is obscured by the vertebral column on the anterior chest radiograph, thus very difficult to identify.</p>

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