Lung cancer

Discussion:

Large cancer with the apical portion of the left lower lobe.  Nice example of how the silhouette sign and hilum overlay sign can help localize a chest lesion on a frontal projection alone.

Cytology:

Bronchial washings left lower lobe - malignant cells originating from a non-small cell carcinoma, best seen in the bronchial  brushings from the left lower lobe, where the cytomorphology is suggestive of adenocarcinoma.

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