233Lu Squamous Cell Carcinoma with Pseudocavitation

6 Years Prior left Upper Lobe Complex Cystic Lesion

CT scan of a 78 year old male with history of nicotine shows a complex cystic lesion in the left upper lobe 
Final diagnosis Squamous Cell Carcinoma 
Ashley Davidoff MD TheCommonVein.net
CT scan of a 78 year old male with history of nicotine shows a complex cystic lesion in the left upper lobe 
Final diagnosis Squamous Cell Carcinoma 
Ashley Davidoff MD TheCommonVein.net

 

Growth of Cystic Lesion Over 6months

CT scan of a 78 year old male with history of nicotine shows growth of the complex cystic lesion in the left upper lobe .  The lesion shows finding consistent with pseudocavitation.
Final diagnosis Squamous Cell Carcinoma 
Ashley Davidoff MD TheCommonVein.net
CT scan of a 78 year old male with history of nicotine shows growth of the complex cystic lesion in the left upper lobe .  The lesion shows finding consistent with pseudocavitation.
Final diagnosis Squamous Cell Carcinoma 
Ashley Davidoff MD TheCommonVein.net

PET CT One Month Later

CT component of the PET CT scan performed one month later again shows a complex cystic lesion in the left upper lobe with a paucity of soft tissue .  The lesion shows findings consistent with pseudocavitation. .  
Final diagnosis Squamous Cell Carcinoma
Ashley Davidoff MD TheCommonVein.net
PET CT scan of a 78 year old male with history of nicotine use shows a hyperintense lesion in the left upper lobe of the lung, despite the paucity of soft tissue .  
Final diagnosis Squamous Cell Carcinoma
Ashley Davidoff MD TheCommonVein.net


Significant Progression of Soft Tissue Growth
2 Months Later
Prior to Biopsy

CT scan performed prior to biopsy performed 2 months later shows rapid growth  of soft tissue component  within the pseudocavitation lesion.   
Final diagnosis Squamous Cell Carcinoma
Ashley Davidoff MD TheCommonVein.net

Lung Biopsy

Lung Biopsy
CT scan performed during the the lung biopsy with the patient in prone position performed 2 months later shows appropriate positioning of the needle, with evidence of small amount of hemorrhage around the lesion caused by the procedure
Final diagnosis Squamous Cell Carcinoma
Ashley Davidoff MD TheCommonVein.net