Pulmonary hamartoma

Case contributed by Ian Bickle
Diagnosis almost certain

Presentation

Cough.

Patient Data

Age: 65 years
Gender: Female
x-ray
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Info

Right upper zone pulmonary nodule.

Heart size normal.  Left lung clear.

5 years later

x-ray
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Info

Right upper zone pulmonary nodule.  Unchanged from 5 years prior.

Heart size normal.  Left lung clear.

7 years later

x-ray
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Info

Right upper zone pulmonary nodule.Unchanged from a film of 7 years ago.

Heart size normal.  Left lung clear.

Hiatus hernia.

1 year later

ct
This study is a stack
Axial
non-contrast
This study is a stack
Axial lung
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Info

1.6cm fat density nodule in the apical segment of the right lower lobe.  Some intralesional soft tissue, but no calcification.

Lungs are otherwise normal.

No mediastinal lymphadenopathy.

Case Discussion

Longitudinal imaging of a static solitary pulmonary nodule over 8 years.

The lesion is of fat density on CT consistent with a pulmonary hamartoma.

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