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Stage IV Melanoma Migration of broken catheter

Patterson RAP - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Stage IV Melanoma Migration of broken catheter

History: 52 y/o woman with hx of resected skin lesion. Had latest PA and lateral done as part of a fever work up, with prior study in August 2004 and CT in November 2004. Past surgical history consists of placement of a port-a-cath.

Findings: Study from December demonstrates increase in size and quantity of masses over all lung fields as compared to previous study of August in the same year. Largest mass, measuring 3cm, is located peripherally in the left lung field. There is prominent lymphadenopathy in both hila. A 9.5 cm length of catheter is present in the left pulmonary artery and extends into the inferior branch.

Ddx: Mass Lesion: Granulomatous disease Inflammation Benign neoplasm Malignant primary Metastatic disease Congenital abnormality

Dxhow: Biopsy and histology

Exam: Temp 100.8, BP 140/88, HR 70, RR 17. Remainder of physical exam and labs were unavailable.

No MeSH data available.


Previous Chest Film PA - multiple lung masses
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MPX1115_synpic23836: Previous Chest Film PA - multiple lung masses


Stage IV Melanoma Migration of broken catheter

Patterson RAP - MedPix

Previous Chest Film PA - multiple lung masses
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1115&req=5

MPX1115_synpic23836: Previous Chest Film PA - multiple lung masses

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Stage IV Melanoma Migration of broken catheter

History: 52 y/o woman with hx of resected skin lesion. Had latest PA and lateral done as part of a fever work up, with prior study in August 2004 and CT in November 2004. Past surgical history consists of placement of a port-a-cath.

Findings: Study from December demonstrates increase in size and quantity of masses over all lung fields as compared to previous study of August in the same year. Largest mass, measuring 3cm, is located peripherally in the left lung field. There is prominent lymphadenopathy in both hila. A 9.5 cm length of catheter is present in the left pulmonary artery and extends into the inferior branch.

Ddx: Mass Lesion: Granulomatous disease Inflammation Benign neoplasm Malignant primary Metastatic disease Congenital abnormality

Dxhow: Biopsy and histology

Exam: Temp 100.8, BP 140/88, HR 70, RR 17. Remainder of physical exam and labs were unavailable.

No MeSH data available.