Pulmonary coin lesion

Case contributed by Dr Ian Bickle

Presentation

Life long history of heavy smoking. Complains of haemoptysis.

Patient Data

Age: 60 years old
Gender: Female
Modality: X-ray

Well defined mass in the right upper lobe.

No mediastinal lymphadenopathy.

Left lung clear.

Case Discussion

A coin lesion on chest x-ray ( this may be a nodule if less than 3cm or in this case a mass as greater than 3cm) requires further assessment.

The differential wide, although the commonest and most important to diagnosis is a bronchial carcinoma.

In the first instance review of previous imaging is indicated.  If the lesion was not previously identified then urgent referral to a respiratory physcian is indicated, during this process CT with be performed.

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Case Information

rID: 27020
Case created: 18th Jan 2014
Last edited: 12th Mar 2016
System: Chest
Inclusion in quiz mode: Included

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