Limits...
Adenocarcinoma of the Lung

Malamug LRM - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Adenocarcinoma of the Lung

History: The patient is a 43-year-old female who presented with a 6-month history of progressively worsening shortness of breath with exertion during her 5-mile runs. The patient also complained of wheezing but denied having a cough, fevers, chills, or weight loss. This patient does not have a previous history of any chronic illnesses and does not have any history of tobacco use.

Findings: Chest PA/LAT revealed increased interstitial markings in the right lower lobe. Contrast enhanced chest CT revealed diffuse increased interstitial markings involving the right middle and lower lobes, pleural thickening/scarring of the posterior right lower lobe, and a small right-sided pleural effusion.

Ddx: lymphangitic spread of malignancy primary malignancy lymphoma Sjogrens syndrome lymphangioleiomyomatosis pneumonia (bacterial, atypical, viral) collagen vascular disease (SLE, RA) hypersensitivity pneumonitis asbestosis edema (secondary to fluid overload, CHF, or nephrotic syndrome)

Dxhow: Biopsy histology

Exam: Physical Exam: No abnormalities. Labs: - Fungal, acid-fast, and Gram stains showed no organisms. - Pleural fluid analysis was suspicious for malignancy. - Histopathologic analysis of tissue samples of all three right lung lobes including mediastinal lymph nodes revealed extensive lymphovascular invasion, focal areas of necrosis, and several areas with signet-ring cells.

No MeSH data available.


Chest x-ray shows increased interstitial markings in the right lower lobe.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=MPX1016&req=5

MPX1016_synpic34315: Chest x-ray shows increased interstitial markings in the right lower lobe.


Adenocarcinoma of the Lung

Malamug LRM - MedPix (2007)

Chest x-ray shows increased interstitial markings in the right lower lobe.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1016&req=5

MPX1016_synpic34315: Chest x-ray shows increased interstitial markings in the right lower lobe.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Adenocarcinoma of the Lung

History: The patient is a 43-year-old female who presented with a 6-month history of progressively worsening shortness of breath with exertion during her 5-mile runs. The patient also complained of wheezing but denied having a cough, fevers, chills, or weight loss. This patient does not have a previous history of any chronic illnesses and does not have any history of tobacco use.

Findings: Chest PA/LAT revealed increased interstitial markings in the right lower lobe. Contrast enhanced chest CT revealed diffuse increased interstitial markings involving the right middle and lower lobes, pleural thickening/scarring of the posterior right lower lobe, and a small right-sided pleural effusion.

Ddx: lymphangitic spread of malignancy primary malignancy lymphoma Sjogrens syndrome lymphangioleiomyomatosis pneumonia (bacterial, atypical, viral) collagen vascular disease (SLE, RA) hypersensitivity pneumonitis asbestosis edema (secondary to fluid overload, CHF, or nephrotic syndrome)

Dxhow: Biopsy histology

Exam: Physical Exam: No abnormalities. Labs: - Fungal, acid-fast, and Gram stains showed no organisms. - Pleural fluid analysis was suspicious for malignancy. - Histopathologic analysis of tissue samples of all three right lung lobes including mediastinal lymph nodes revealed extensive lymphovascular invasion, focal areas of necrosis, and several areas with signet-ring cells.

No MeSH data available.