Solitary pulmonary nodule - lung cancer

Case contributed by Ian Bickle
Diagnosis almost certain

Presentation

Cough.

Patient Data

Age: 65 years
Gender: Male
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Info

3 cm left upper lobe mass in the perihilar region.

Heart size normal.  Right lung clear.  Normal mediastinal contours.

Case Discussion

The typical appearance of a solitary pulmonary nodule with some practical tips:

  • there is a differential, but it is lung cancer until proven otherwise

  • at 3 cm in size, this is a "mass", not a "nodule" (which measures < 3 cm)

  • be sure to check there is only one nodule

  • ensure there are no other clues, such as an AP window node

  • always check prior imaging - unnecessary anxiety and cost through CT scanning can be avoided if the mass has been there for years and has a benign cause, such as a hamartoma

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