A rather striking chest x-ray for a rather common patholgy.
Couple of practical points:
- CT is not always needed for lung biopsy is one lesson from this case ( it would be so much more hassle than using ultrasound ).
- Choose the site for biopsy with insight - core the perceived viable tissue (maybe at the periphery of the mass) or core in two different parts of the mass.
- Alas, the latter was done, but 2 cores of infarcted tissue were acquired - immunohistochemical staining was sufficient to conclude a lung carcinoma.