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1. Metastatic breast cancer to lungs 2. Right side vocal cord paralysis 3. Anemia, thrombocytopenia 4. Transamnitis

USU Teaching File MUTF - MedPix

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Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: 1. Metastatic breast cancer to lungs 2. Right side vocal cord paralysis 3. Anemia, thrombocytopenia 4. Transamnitis

History: 48 y/o AAF with h/o of metastatic infiltrating ductal breast CA and pulmonary nodules presents with SOB and progressive vocal loss. Pt had lumpectomy and XRT in 1998. In March 2000, a sternal lesion and R breast lesion were discovered, biopsied and found to be metastases. Right upper lobe lung mass first found in 3/01. Jan 2002, RUL wedge resection/matastectomy was performed. Pt has undergone numerous chemo regimens, XRT and autologous BMT. Pt was recently hospitalized for mucositis complicated by neutropenia.

Findings: Chest x-ray: multiple pulmonary nodules which are too numerous to count, increased size and number in comparison to the last one from 04 Dec 02. A left arm catheter is present with the tip projecting over the level of the right superior cavoatrial junction. Evidence of prior right breast surgery. No infiltrates or effusion.CT-No PE/DVT. No bone or liver mets. Increase in mediastinal adenopathy in the aortopulmonary window and subcarinal region. Evidence of right masectomy within the soft tissues. Overall progression of lung parenchymal disease.

Ddx: 1. Metastatic breast Cancer to the lung 2. Multiple abscesses 3. Septic emboli 4. Fungal infection 5. Non-Hodgkin’s lymphoma 6. Kaposi’s sarcoma 7. Wegener’s granulomatosis

Exam: Gen: Cachetic Chest/Lung: Equal BS, no rales, rhochi, wheezes or rubs; decreased breath sounds Edema present in the lower extremity bilaterally VATS, Lung Bx Jan 2002-confirmed metastatic breast cancer to the RUL CA 27-29 on 01 Oct 2003 was 58 Basic Labs at admission on 09 Oct 20033.7 \10.9 /46 135/2.9/101/36/9/0.8/98 Alk phos 128, AST 147, ALT 53 TBILI 1.7 32.7

No MeSH data available.


Chest x-ray: multiple pulmonary nodules which are too numerous to count, increased size and number in comparison to the last one from 04 Dec 02.  A left arm catheter is present with the tip projecting over the level of the right superior cavoatrial junction.  Evidence of prior right breast surgery.  No infiltrates or effusion.
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MPX1779_synpic18319: Chest x-ray: multiple pulmonary nodules which are too numerous to count, increased size and number in comparison to the last one from 04 Dec 02. A left arm catheter is present with the tip projecting over the level of the right superior cavoatrial junction. Evidence of prior right breast surgery. No infiltrates or effusion.


1. Metastatic breast cancer to lungs 2. Right side vocal cord paralysis 3. Anemia, thrombocytopenia 4. Transamnitis

USU Teaching File MUTF - MedPix

Chest x-ray: multiple pulmonary nodules which are too numerous to count, increased size and number in comparison to the last one from 04 Dec 02.  A left arm catheter is present with the tip projecting over the level of the right superior cavoatrial junction.  Evidence of prior right breast surgery.  No infiltrates or effusion.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1779&req=5

MPX1779_synpic18319: Chest x-ray: multiple pulmonary nodules which are too numerous to count, increased size and number in comparison to the last one from 04 Dec 02. A left arm catheter is present with the tip projecting over the level of the right superior cavoatrial junction. Evidence of prior right breast surgery. No infiltrates or effusion.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: 1. Metastatic breast cancer to lungs 2. Right side vocal cord paralysis 3. Anemia, thrombocytopenia 4. Transamnitis

History: 48 y/o AAF with h/o of metastatic infiltrating ductal breast CA and pulmonary nodules presents with SOB and progressive vocal loss. Pt had lumpectomy and XRT in 1998. In March 2000, a sternal lesion and R breast lesion were discovered, biopsied and found to be metastases. Right upper lobe lung mass first found in 3/01. Jan 2002, RUL wedge resection/matastectomy was performed. Pt has undergone numerous chemo regimens, XRT and autologous BMT. Pt was recently hospitalized for mucositis complicated by neutropenia.

Findings: Chest x-ray: multiple pulmonary nodules which are too numerous to count, increased size and number in comparison to the last one from 04 Dec 02. A left arm catheter is present with the tip projecting over the level of the right superior cavoatrial junction. Evidence of prior right breast surgery. No infiltrates or effusion.CT-No PE/DVT. No bone or liver mets. Increase in mediastinal adenopathy in the aortopulmonary window and subcarinal region. Evidence of right masectomy within the soft tissues. Overall progression of lung parenchymal disease.

Ddx: 1. Metastatic breast Cancer to the lung 2. Multiple abscesses 3. Septic emboli 4. Fungal infection 5. Non-Hodgkin’s lymphoma 6. Kaposi’s sarcoma 7. Wegener’s granulomatosis

Exam: Gen: Cachetic Chest/Lung: Equal BS, no rales, rhochi, wheezes or rubs; decreased breath sounds Edema present in the lower extremity bilaterally VATS, Lung Bx Jan 2002-confirmed metastatic breast cancer to the RUL CA 27-29 on 01 Oct 2003 was 58 Basic Labs at admission on 09 Oct 20033.7 \10.9 /46 135/2.9/101/36/9/0.8/98 Alk phos 128, AST 147, ALT 53 TBILI 1.7 32.7

No MeSH data available.