Solitary pulmonary nodule: melanoma metastasis
Febrile. Septic screen.
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2 cm left lower lobe nodule, projecting over the cardiac silhouette on the frontal view. No focal consolidation. Both costodiaphragmatic angles are blunted. Normal cardiomediastinal contour.
This patient has a known history of malignant melanoma, and this pulmonary nodule is rapidly growing and represents a metastasis. The pulmonary nodule was subsequently proven on CT.
The nodule lies in a check area, and may be subtle to some people.