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Squamous cell carcinoma of the lung with hilum overlay sign
A good learning case on several levels for a fairly common pathology.
Alert system: all institutional shoulds have alert systems and methods for ensuring these are acted upon. This abnormality was on the initial chest x-ray and reported.
Radiological sign: sure the radiologist can just say it's abnormal and 'do a CT' but it's enjoyable to see a radiological sign on plain x-ray.
CT is not always needed and the greater time and people involved to biopsy a lung mass.
Institutional and self-reflection: Could we have done better for this patient? If so how, and can we implement change for future better practice?
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Hilum overlay sign
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Case courtesy of
Dr Ian Bickle
X-ray: This chest x-ray was performed 7 mont...
Ultrasound: Given the peripheral location ultraso...