HISTORY:
cough
CXR
There is patchy opacity in the right upper lung
which may represent post obstructive atelectasis from the right hilar mass or multifocal airspace disease.
Ashley Davidoff MD
TheCommonVeiin.net
70M lung ca 001
Infiltrate, thickening of the interlobular septa, bronchial wall thickening
Mass effect on the right mainstem bronchus with narrowing
Volume loss with bowing of the minor fissure and right effusion
There is patchy opacity in the right upper lung
which may represent post obstructive atelectasis from the right hilar mass or multifocal airspace disease. The minor fissure is elevatedand there is a suggestion of SVC encasement
Ashley Davidoff MD
TheCommonVeiin.net
70M lung ca 006
Arterial encasement
There is patchy opacity in the right upper lung
which may represent post obstructive atelectasis from the right hilar mass or multifocal airspace disease. There is encasement of the right upper lobe pulmonary artery suggesting a malignant process.
Ashley Davidoff MD
TheCommonVeiin.net
70M lung ca 005
Lymph Nodes in the neck
Narrowing of the azygous vein and mainstem bronchus
There is patchy opacity in the right upper lung
which may represent post obstructive atelectasis from the right hilar mass or multifocal airspace disease. There is encasement of the SVC and narrowing of the right mainstem bronchus suggesting a malignant process.
Ashley Davidoff MD
TheCommonVeiin.net
70M lung ca 008
Subcarinal Node
Effusion
Other Lung Nodules
Aortic Stenosis
PET
There is patchy opacity in the right upper lung. Right upper lobe lung mass is moderately hypermetabolic
with re-demonstration of mediastinal invasion and at least 3 cm of
contact with the chest wall, very concerning for primary lung
malignancy. There is new complete post-obstructive of the right upper lobe which has progressed
Hypermetabolic ipsilateral right supraclavicular, right upper and
lower paratracheal, subcarinal and right middle lobe segmental lymph nodes are most consistent with nodal metastases. No evidence of metastatic adenopathy on the contralateral left side.
Ashley Davidoff MD
TheCommonVeiin.net
70M lung ca 016 PET