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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.


Scout view demonstrating blunting of the right costophrenic sulcus consistent with a pleural effusion. There is elevation of the right hemidiaphragm. A mass is present in the right upper lobe. There is bilateral enlargement of the breasts, left greater than right. Looking at the lower body there is soft tissue wasting. There is noticeable loss of fat in the thighs. This disease process is causing a paradoxical situation, where there is enlargement in the upper torso but tissue loss elsewhere in the body.
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MPX2119_synpic56367: Scout view demonstrating blunting of the right costophrenic sulcus consistent with a pleural effusion. There is elevation of the right hemidiaphragm. A mass is present in the right upper lobe. There is bilateral enlargement of the breasts, left greater than right. Looking at the lower body there is soft tissue wasting. There is noticeable loss of fat in the thighs. This disease process is causing a paradoxical situation, where there is enlargement in the upper torso but tissue loss elsewhere in the body.


Superior Vena Cava Syndrome secondary to lung cancer

Steel CJS - MedPix (2011)

Scout view demonstrating blunting of the right costophrenic sulcus consistent with a pleural effusion. There is elevation of the right hemidiaphragm. A mass is present in the right upper lobe. There is bilateral enlargement of the breasts, left greater than right. Looking at the lower body there is soft tissue wasting. There is noticeable loss of fat in the thighs. This disease process is causing a paradoxical situation, where there is enlargement in the upper torso but tissue loss elsewhere in the body.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX2119_synpic56367: Scout view demonstrating blunting of the right costophrenic sulcus consistent with a pleural effusion. There is elevation of the right hemidiaphragm. A mass is present in the right upper lobe. There is bilateral enlargement of the breasts, left greater than right. Looking at the lower body there is soft tissue wasting. There is noticeable loss of fat in the thighs. This disease process is causing a paradoxical situation, where there is enlargement in the upper torso but tissue loss elsewhere in the body.

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.