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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.


With the stent in place, the SVC can now be visualized. The contrast is observed entering the right atrium with decreased collateral flow.
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MPX2119_synpic56353: With the stent in place, the SVC can now be visualized. The contrast is observed entering the right atrium with decreased collateral flow.


Superior Vena Cava Syndrome secondary to lung cancer

Steel CJS - MedPix (2011)

With the stent in place, the SVC can now be visualized. The contrast is observed entering the right atrium with decreased collateral flow.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX2119_synpic56353: With the stent in place, the SVC can now be visualized. The contrast is observed entering the right atrium with decreased collateral flow.

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.