This is an interesting learning case on several levels with some important radiological life lessons.
- With COPD patients often the whole patient cannot be imaged on one radiograph. When one has to piece up the 2 pieces this can be more challenging to interpret.
- The most useful thing for any radiologist is old imaging studies. Not looking for them or at them at your peril.
- Satisfaction of search - don't be happy with spotting one abnormality. Look for more and it may take you further down the diagnostic pathway.
This was a histologically proven lung cancer.