Pulmonary hamartoma

Case contributed by Safwat Mohammad Almoghazy
Diagnosis probable

Presentation

A case of high risk of cancer prostateT3a, PSA 117ng/ml on hormonal treatment, now PSA=4.25ng/ml.

Patient Data

Age: 70 years
Gender: Male
ct
This study is a stack
Axial lung
window
This study is a stack
Axial C+
arterial phase
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Info

No previous study available for comparison.

A peripheral solitary pulmonary nodule is noted in subpleural space of the anterior right upper lobe segment measuring about 1.0 cm with a fat density within suggestive of hamartoma.

No other suspicious lesions in the rest of studies.

Case Discussion

A known case of prostate cancer with no definite suspicious distant metastasis. A solitary subpleural nodule at anterior segment of right upper lobe demonstrates that parts of it are of fat density. Features are consistent with a pulmonary hamartoma. Follow-up has demonstrated no change in size over about 1.5 years.

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