Cancer CT appearance 66F spiculated lesion with extension into the interlobular septa and background of severe centrilobular emphysemaAshley DAvidoffTheCommonVein.net Elderly Female with a right upper lobe nodule on Chest CT scan subsequently shown to be carcinomaAshley DavidoffThe CommonVein.net Lung CancerSpiculated and Cavitating NoduleAshley DavidoffTheCommonVein.net Spiculated PET positive Cancer with Satellite NodulesAshley DavidoffTheCommonVein.net28979c The Cause and the Effect in one ImageThe CT scan through the chest of an 80 year old male shows a large lung mass in the posterior aspect of the right upper lobe (overlaid in green) and3 small nodules in the left upper lobe (overlaid in green). The patient is obviously a smoker and the incriminating pack of cigarettes is identified in his right shirt pocket containing 9 cigarettes. The lung cancer was shown to be an adenocarcinoma The pathology of the nodules may either represent metastatic disease or multicentric foci of bronchioloalveolar cell carcinoma. Associated finding of a thinned anterior junction line suggests hyperinflation and emphysema, and the thickened bronchial walls noted in the right lung suggest chronic bronchitis. Saber shaped trachea is also reminiscent of emphysema. The patient is emaciated, a finding that relates both to his chronic lung disease and his cancer.Ashley Davidoff MD 87831c01b.8sTheCommonVein.net 87755.8s The CT is from a 51 year old male who is a smoker who shows three areas areas of ground glass opacity in the right lower lobe, two that measure close to 2cms each and a third more anterior that measures about 8mms. This case represents multicetric BAC. lung cancer GGO ground glass opacity multicentric malignant BAC bronchioloalveolar carcinoma bronchiolocarcinoma CTscan Courtesy Ashley Davidoff MD TheCommonVein.net Links and References TCV Cancer Map Cancer Cases Smoking Related Diseases Map