Presentation
History of smoking with shortness of breath
Patient Data
Age: 60 years
Gender: Male
From the case:
Paraseptal emphysema and subpleural bullae
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Paraseptal emphysema and also bullae are seen in the periphery of the secondary pulmonary lobules.
Approximately 4 cm spiculated mass in the left upper lobe abutting the aortic arch (allowing for the lack of mediastinal windows).
Case Discussion
Given the history of smoking and the emphysematous changes in the lungs the left upper lobe mass is likely to represent lung cancer.