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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