PROF.S.SUNDAR UNIT

73 Year old male admitted with c/o hemoptysis,breathlessness,chest pain and wheeze

Smoker for 20 years

X RAY FINDINGS CHEST X RAY PA VIEW TAKEN IN FULL INSPIRATION

ADEQUATELY PENETRATED SLIGHT ROTATION TO RIGHT

TRACHEA SLIGHTLY DEVIATED TO THE RIGHT

CARDIOPHRENIC AND COSTOPHRENIC ANGLES ARE FREE

RIGHT LUNG FIELDS ARE CLEAR.LEFT LUNG FIELD SHOWS A HOMOGENOUS OPACITY WITH SPICULATED MARGINS IN THE UPPER ZONE

CARDIAC SHADOW APPEARS NORMAL

NO BONY ABNORMALITIES DETECTED

BORDER OF DESCENDING AORTA IS WELL DEFINED WHEREAS THAT OF ARCH OF AORTA AND ORIGIN OF DESCENDING AORTA ARE ILL DEFINED

IMPRESSIONHOMOGENOUS OPACITY OF ABOUT 7 CM IN DIMENSION WITH SPICULTAED MARGINS SUGGESTIVE IN FAVOUR OF MALIGNANCY WITH MEDIASTINAL INVASION

POINTS IN FAVOUR OF MALIGNANCY DIAMETER >6 CM

SPICULTAED MARGIN

INVASION OF MEDIASTINUM

CENTRAL IN LOCATION SMALL CELL CA.(74%)

SQUAMOUS(64%)

LARGE CELL CA.(42%)

ADENO CA.(5%)

Symptoms in central growth Cough

Breathlessness

Hemoptysis

Wheeze

CXR IN BRONCHOGENIC CA. MC PRESENTATION-PULMONARY PARENCHYMAL

NODULE OR MASS

When a central obstructing lesion is present , secondary signs such as lobar atelectasis or unresolving pneumonia might be present rather than visualization of the primary tumor

Detection of presence of mediastinal and hilarlymphadenopathy, pleural effusion , involvement of bony thorax

Thank you