Stage IV Small Cell Lung Carcinoma – Hilum Overlay Sign
65 year old male presents with a history of chest pain, back pain, myalgias, and night sweats
Frontal CXR shows a left sided mass that silhouettes the aortic knob and the main pulmonary artery indicating that the mass arises from middle mediastinal tumors, hilar adenopathy, or a large pericardial effusion – hilum overlay sign.
A diagnosis of a large mediastinal small cell carcinoma of the lung was diagnosed
Ashley Davidoff MD TheCommonVein.net 297Lu 136690c
65 year old male presents with a history of chest pain, back pain, myalgias, and night sweats
Frontal CXR shows a left sided mass that silhouettes the aortic knob and the main pulmonary artery (white arrowhead, b) indicating that the mass arises from middle mediastinal tumors, hilar adenopathy, or a large pericardial effusion. The mass also compresses and displaces the left mainstem (teal arrowhead b) and confirmed in d.
The coronal CT scan (d) confirms the presence of a large mediastinal mass that extends beyond the aortic knob (white arrowhead)
A diagnosis of a large mediastinal small cell carcinoma of the lung was diagnosed
Ashley Davidoff MD TheCommonVein.net 297Lu 136690cL
65 year old male presents with a history of chest pain, back pain, myalgias, and night sweats
Frontal CXR shows a left sided mass that silhouettes the aortic knob and the main pulmonary artery (white arrowhead, b) indicating that the mass arises from middle mediastinal tumors, or hilar adenopathy. The mass also compresses and displaces the left mainstem bronchus (teal arrowhead b).
The axial CT (c) shows th extent of the mass and the coronal CT scan (d) confirms the presence of a large mediastinal mass that extends beyond the aortic knob (white arrowhead)
A diagnosis of a large mediastinal small cell carcinoma of the lung was diagnosed
Ashley Davidoff MD TheCommonVein.net 297Lu 136691cL