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Superior Vena Cava Syndrome secondary to lung cancer

Steel CJS - MedPix (2011)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Superior Vena Cava Syndrome secondary to lung cancer

History: 59 year-old woman presents with facial swelling and discomfort in her breasts. These symptoms are worse in the morning, and are exacerbated when lying flat. The patient also endorses worsening orthopnea.

Findings: •CXR: bilateral breast enlargement, blunting of the costophrenic sulci, bilateral pleural effusions, consolidation of the right upper lobe •CT: bilateral breast enlargement, right sided pleural effusion, elevation of the right hemidiaphragm, right upper lobe mass causing occlusion of the right brachiocephalic vein, extensive venous collateral formation

Ddx: SVC syndrome -malignancy related -secondary to thrombosis -fibrosing mediastinitis -post-radiation fibrosis -sarcoidosis Inflammatory breast cancer Pulmonary HTN

Dxhow: Previous biopsy CT

Exam: VS:BP 115/75, HR 106, RR 18, O2 90% on 2-4 LNC Gen: Alert and oriented, in no acute distress. HEENT: Extensive JVD while upright. Heart: Normal S1, S2. No murmurs, rubs, gallops. Chest: Coarse breath sounds bilaterally. Both breasts were enlarged. Abd: Unremarkable Neuro: no focal deficits

No MeSH data available.


Marked anasarca causing swelling of both breasts. Collateral vein formation anteriorly and posteriorly. Tissue wasting is also present in the posterior chest wall.
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MPX2119_synpic56348: Marked anasarca causing swelling of both breasts. Collateral vein formation anteriorly and posteriorly. Tissue wasting is also present in the posterior chest wall.


Superior Vena Cava Syndrome secondary to lung cancer

Steel CJS - MedPix (2011)

Marked anasarca causing swelling of both breasts. Collateral vein formation anteriorly and posteriorly. Tissue wasting is also present in the posterior chest wall.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2119&req=5

MPX2119_synpic56348: Marked anasarca causing swelling of both breasts. Collateral vein formation anteriorly and posteriorly. Tissue wasting is also present in the posterior chest wall.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Superior Vena Cava Syndrome secondary to lung cancer

History: 59 year-old woman presents with facial swelling and discomfort in her breasts. These symptoms are worse in the morning, and are exacerbated when lying flat. The patient also endorses worsening orthopnea.

Findings: •CXR: bilateral breast enlargement, blunting of the costophrenic sulci, bilateral pleural effusions, consolidation of the right upper lobe •CT: bilateral breast enlargement, right sided pleural effusion, elevation of the right hemidiaphragm, right upper lobe mass causing occlusion of the right brachiocephalic vein, extensive venous collateral formation

Ddx: SVC syndrome -malignancy related -secondary to thrombosis -fibrosing mediastinitis -post-radiation fibrosis -sarcoidosis Inflammatory breast cancer Pulmonary HTN

Dxhow: Previous biopsy CT

Exam: VS:BP 115/75, HR 106, RR 18, O2 90% on 2-4 LNC Gen: Alert and oriented, in no acute distress. HEENT: Extensive JVD while upright. Heart: Normal S1, S2. No murmurs, rubs, gallops. Chest: Coarse breath sounds bilaterally. Both breasts were enlarged. Abd: Unremarkable Neuro: no focal deficits

No MeSH data available.