Presentation
Cough.
Patient Data
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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