SVC Syndrome76-year-old female with central lung cancer and superior vena cava (SVC) syndrome as noted by this scout film following contrast injection, where contrast is trapped in the right subclavian system because of the obstruction of inflow. Note also the significant swelling of the face and neck which was new for this patient.
Ashley Davidoff MD TheCommonVein.net Lung cancer P 026
This is a case of a central squamous carcinoma causing obstruction of the right mainstem bronchus and SVC, requiring stents in both. The right main stem bronchus has been opened with a single short stent (teal). The obstruction of the SVC was at the confluence of the right internal jugular and brachiocephalic vein. A residual narrowing (arrow) where the tumor is located is still noted. A second stent is in the brachiocephalic vein (royal blue horizontal stent). This image tells the story of how tubular transport function is compromised by reduced size and how size can be restored by modern technology.
Images courtesy: Ashley Davidoff, M.D. TheCommonVein.net Lung cancer P 027
Papillary Adenocarcinoma
Ashley Davidoff MD TheCommonVein.net
papillary-adenocarcinoma-003 PET CT
Cavitating Squamous Cell Carcinoma
Axial CT scan through the chest in a 53-year-old male shows a central 2.9cm cavitating lesion, consistent with a squamous cell carcinoma of the lung.
Ashley Davidoff, M.D. TheCommonVein.net Lung cancer P 017
Ashley DAvidoff
TheCommonVein.net
Elderly Female with a right upper lobe nodule on Chest CT scan subsequently shown to be carcinoma
Ashley Davidoff
The CommonVein.net
Post Obstructive Atelectasis
The scout film performed prior to a CT scan from a 76-year-old man with chest pain and shortness of breath. The appearance suggests atelectasis of the right upper lobe with the normal position of the minor fissure (yellow) altered so that the upper portion (light green above the yellow line) is shifted upward caused by volume loss of an atelectatic right upper lobe (pink). The lower portion of the fissure (light green below the yellow line) is bulging rightward and outward caused by an implied mass (dark green). The “reversed S sign of Golden” is demonstrated in this case and infers a central mass causing obstruction and resulting in the shape described by the light green line of the minor fissure.
Courtesy: Ashley Davidoff, M.D.
Satellite Nodule
Ashley Davidoff MD The CommonVein.net
Ashley Davidoff MD The CommonVein.net
Ashley Davidoff MD The CommonVein.net