Stage III non-small cell lung cancer
status post chemotherapy radiation

Cough with lingering symptoms for 3 weeks, heavy smoker

IMPRESSION:
No acute cardiopulmonary process.

 

1 Month Later

HISTORY:
cough, sob

IMPRESSION

Interval enlargement of the right paratracheal stripe. Underlying adenopathy is not excluded. CT of the thorax with intravenous contrast is recommended for further evaluation.

 

Large pretracheal lymph node which causes severe narrowing of the
azygos vein and encases the right upper lobe pulmonary artery. Soft
tissue density extends along the right mainstem bronchus into the
right hilum and this enlarged lymph node exerts mass effect or
possibly invades the right mainstem bronchus.

 

Biopsy

RIGHT MAINSTEM ENDOBRONCHIAL MASS BIOPSY:
FRAGMENTS OF SQUAMOUS CELL CARCINOMA

 

 

stage III non-small cell lung cancer
status post chemotherapy radiation