Solitary pulmonary nodule and nipple shadow

Case contributed by Dr Balint Botz


Screening chest x-ray.

Patient Data

Age: 55
Gender: Male

A well defined solitary pulmonary nodule of soft tissue density is visible in the right lower lobe. Prior examinations confirmed it as a hamartomatous mass. 

Smaller, symmetrical, ill-defined nodular shadows are visible on both sides between anterior aspect of the 5-6th ribs. Unlike the SPN these shadows have an ill-defined medial border, while the lateral border is sharp. 

Annotated image

Key image showing the nipple shadow superiorly and the solitary pulmonary nodule inferiorly. 

Case Discussion

The case demonstrates the differences in the appearance of solitary pulmonary nodules and bilateral nipple shadows. 

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Case information

rID: 58047
Published: 28th Jan 2018
Last edited: 16th Feb 2018
System: Chest
Inclusion in quiz mode: Included
Institution: University of Pécs

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