Multifocal adenocarcinoma of lung

Case contributed by Dr Maxime St-Amant

Presentation

R/o pneumonia.

Patient Data

Age: 65
Gender: Female
X-ray

Chest x-ray shows bilateral, but mainly right-sided small airspace opacities. Some of the opacities are cavitary. Left pleural effusion. Left upper lobe resection is seen.

A metastatic process must be excluded, since the patient has already had lung cancer. An infectious or inflammatory process is also possible. Chest CT-scan is recommended.

Chest CT-scan confirms multiple small bilateral cavitary opacities surrounded by ground glass. The findings are not specific; an infectious process can be considered, but it is atypical. multifocal adenocacinoma must also be considered. Metastases are also possible. 

Case Discussion

The histological diagnosis of adenocarcinoma was later confirmed, in this patient previously known for left upper lobe adenocarcinoma.

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Case information

rID: 20699
Case created: 8th Dec 2012
Last edited: 2nd May 2017
System: Chest
Inclusion in quiz mode: Included

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