Pulmonary hamartoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Cough and shortness of breath.

Patient Data

Age: 45 years
Gender: Female
ct

The left lung contains a well-defined 32 mm mass with internal coarse calcification and tiny areas of fat density, typical for hamartoma.

Also, a few small calcified nodules, less than 7 mm, are scattered throughout both lung fields.

Case Discussion

Pulmonary hamartomas are benign neoplasms of cartilage, connective tissue, muscle, fat, and bone. The presence of fat and coarse popcorn-like calcification in a well-circumscribed solitary pulmonary nodule that does not demonstrate significant growth is essentially pathognomonic of a pulmonary hamartoma, and no further investigations are required.

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