Presentation
Cough for a few weeks.
Patient Data
Age: 60 years
Gender: Male
From the case:
Dense hilum sign
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Right hilum is dense and enlarged compared to the left. Elevated right hemidiaphragm suggests volume loss or phrenic nerve palsy.
From the case:
Dense hilum sign
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Superior segment right lower lobe mass extends to the hilum.
Right hilar and subcarinal lymphadenopathy.
Right adrenal mass.
Case Discussion
The CT findings almost certainly represent a metastatic lung cancer, but the patient did not want any further investigation or treatment and the histology is unknown.