Pulmonary hamartoma

Case contributed by Dr Craig Hacking

Presentation

Syncope and dyspnoea.

Patient Data

Age: 70 years
Gender: Female
X-ray

The 2 cm nodule in the left upper lobe is stable compared to previous CXR from 5 years earlier. No appreciable calcification or fat is seen. Lungs and pleural spaces are otherwise clear. The cardiomediastinal contours are normal.

CT

There is diagnostic contrast opacification of the pulmonary arteries. There is no pulmonary embolus. No signs of right heart strain.

There is a well defined, slightly heterogenous solitary pulmonary nodule located anteriorly in the left upper lobe measuring 21 x 20mm. This nodule splays the surrounding pulmonary vessels. Ithas a density of -10 HU with a mixed pattern soft tissue and microscopic fat. No calcification.

There are linear densities seen in both bases in keeping with bibasal atelectasis. Remaining lungs and pleural spaces are clear.

There is no lymph node enlargement or other mediastinal abnormality.

No bony or soft tissue abnormality seen.

Conclusion

  • No pulmonary embolus.
  • Solitary pulmonary nodule in the left upper lobe that has not changed over the last 5 years with a low (negative) density representing a pulmonary hamartoma (a benign lesion).
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Case information

rID: 35749
Case created: 21st Apr 2015
Last edited: 23rd Oct 2017
System: Chest
Inclusion in quiz mode: Included

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