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Non-small cell (squamous cell) carcinoma of the lung (RLL); T3N2M0, corresponding to stage III-A

Patterson RAP - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Non-small cell (squamous cell) carcinoma of the lung (RLL); T3N2M0, corresponding to stage III-A

History: 74 y/o male (retired O-8 physician) c hx of COPD and s/p CABG and MV replacement presents c SOB and productive cough. (Note: Further H&P records unavailable)

Findings: CXR – increased opacity over lower T-spine on lateral film CT – spiculated mass (~2cm) in RLL c reticular stranding in contact c pleura; no chest wall invasion PET – increased radiotracer uptake along posterior aspect of R mediastinum in region of R atrium

Ddx: Based upon radiographic demonstration of pulmonary mass: Malignancy (primary versus metastatic) Benign neoplasm Granulomatous disease (e.g., TB, fungal, sarcoidosis) Other inflammation (e.g., pneumonia, abscess) Congenital abnormality May also consider foreign body or mucus plug

Dxhow: Biopsy

Exam: PE: Pt was noted to be hypoxemic. (Note: Further H&P records unavailable) Labs: CBC – 10.0/16.1/48.6/201; CMP – BUN 29 (o/w ~wnl) AFB culture – negative p 6 wks; Mycology – no fungal growth p 6 wks; Bacteriology (bronchial washing) – few gm neg rods Histology – squamous cell CA and squamous cell CA in-situ

No MeSH data available.


CXR – increased opacity over lower T-spine on the right side.
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MPX2308_synpic24660: CXR – increased opacity over lower T-spine on the right side.


Non-small cell (squamous cell) carcinoma of the lung (RLL); T3N2M0, corresponding to stage III-A

Patterson RAP - MedPix

CXR – increased opacity over lower T-spine on the right side.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2308&req=5

MPX2308_synpic24660: CXR – increased opacity over lower T-spine on the right side.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Non-small cell (squamous cell) carcinoma of the lung (RLL); T3N2M0, corresponding to stage III-A

History: 74 y/o male (retired O-8 physician) c hx of COPD and s/p CABG and MV replacement presents c SOB and productive cough. (Note: Further H&P records unavailable)

Findings: CXR – increased opacity over lower T-spine on lateral film CT – spiculated mass (~2cm) in RLL c reticular stranding in contact c pleura; no chest wall invasion PET – increased radiotracer uptake along posterior aspect of R mediastinum in region of R atrium

Ddx: Based upon radiographic demonstration of pulmonary mass: Malignancy (primary versus metastatic) Benign neoplasm Granulomatous disease (e.g., TB, fungal, sarcoidosis) Other inflammation (e.g., pneumonia, abscess) Congenital abnormality May also consider foreign body or mucus plug

Dxhow: Biopsy

Exam: PE: Pt was noted to be hypoxemic. (Note: Further H&P records unavailable) Labs: CBC – 10.0/16.1/48.6/201; CMP – BUN 29 (o/w ~wnl) AFB culture – negative p 6 wks; Mycology – no fungal growth p 6 wks; Bacteriology (bronchial washing) – few gm neg rods Histology – squamous cell CA and squamous cell CA in-situ

No MeSH data available.