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Poorly Differentiated Non-Small Cell Lung Carcinoma

Shogan PJS - MedPix (2008)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Poorly Differentiated Non-Small Cell Lung Carcinoma

History: An 82-year-old female with productive cough and chest pain.

Findings: Dual-energy PA and subtraction soft-tissue-selective radiographs demonstrates nodular, irregular pleural thickening involving the right upper and mid peripheral lung fields. Blunting of the right costophrenic angle is noted. Dual-energy PA subtraction bone-selective radiograph exhibits no areas of abnormal calcification within the region of pleural thickening. Lateral chest radiograph demonstrates nodular pleural thickening involving the right upper lung margin, and a small pleural effusion is noted. When compared to the chest radiograph from 3.5 months prior, this area of nodular, irregular pleural thickening, and right pleural effusion is relatively new. Contrast enhanced axial CT images through various levels of the chest demonstrate a unilateral right sided pleural effusion, with mildly enhancing circumferential, nodular, irregular thickened pleura, encasing the right hemithorax with a rindlike appearance. Additionally, there is focal nodularity of the mediastinal pleura. There is no significant adenopathy, nor evidence of a chest wall abnormality

Ddx: Metastatic Adenocarcinoma: Lung Breast Ovarian Stomach Kidney Malignant Mesothelioma Mesothelial Hyperplasia

Dxhow: A biopsy was performed.

No MeSH data available.


Contrast enhanced axial CT images through various levels of the chest demonstrate a unilateral right sided pleural effusion, with mildly enhancing circumferential, nodular, irregular thickened pleura, encasing the right hemithorax with a rindlike appearance.  Additionally, there is focal nodularity of the mediastinal pleura.  There is no significant adenopathy, nor evidence of a chest wall abnormality.
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MPX1459_synpic43456: Contrast enhanced axial CT images through various levels of the chest demonstrate a unilateral right sided pleural effusion, with mildly enhancing circumferential, nodular, irregular thickened pleura, encasing the right hemithorax with a rindlike appearance. Additionally, there is focal nodularity of the mediastinal pleura. There is no significant adenopathy, nor evidence of a chest wall abnormality.


Poorly Differentiated Non-Small Cell Lung Carcinoma

Shogan PJS - MedPix (2008)

Contrast enhanced axial CT images through various levels of the chest demonstrate a unilateral right sided pleural effusion, with mildly enhancing circumferential, nodular, irregular thickened pleura, encasing the right hemithorax with a rindlike appearance.  Additionally, there is focal nodularity of the mediastinal pleura.  There is no significant adenopathy, nor evidence of a chest wall abnormality.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1459&req=5

MPX1459_synpic43456: Contrast enhanced axial CT images through various levels of the chest demonstrate a unilateral right sided pleural effusion, with mildly enhancing circumferential, nodular, irregular thickened pleura, encasing the right hemithorax with a rindlike appearance. Additionally, there is focal nodularity of the mediastinal pleura. There is no significant adenopathy, nor evidence of a chest wall abnormality.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Poorly Differentiated Non-Small Cell Lung Carcinoma

History: An 82-year-old female with productive cough and chest pain.

Findings: Dual-energy PA and subtraction soft-tissue-selective radiographs demonstrates nodular, irregular pleural thickening involving the right upper and mid peripheral lung fields. Blunting of the right costophrenic angle is noted. Dual-energy PA subtraction bone-selective radiograph exhibits no areas of abnormal calcification within the region of pleural thickening. Lateral chest radiograph demonstrates nodular pleural thickening involving the right upper lung margin, and a small pleural effusion is noted. When compared to the chest radiograph from 3.5 months prior, this area of nodular, irregular pleural thickening, and right pleural effusion is relatively new. Contrast enhanced axial CT images through various levels of the chest demonstrate a unilateral right sided pleural effusion, with mildly enhancing circumferential, nodular, irregular thickened pleura, encasing the right hemithorax with a rindlike appearance. Additionally, there is focal nodularity of the mediastinal pleura. There is no significant adenopathy, nor evidence of a chest wall abnormality

Ddx: Metastatic Adenocarcinoma: Lung Breast Ovarian Stomach Kidney Malignant Mesothelioma Mesothelial Hyperplasia

Dxhow: A biopsy was performed.

No MeSH data available.