Presentation
Dyspnea, productive cough, and chest pain.
Patient Data
There is a 20 x 25 mm irregular-shaped spiculated soft tissue mass lesion occupying the apical and posterior segments of the right upper lobe.
Another larger irregular soft tissue mass lesion measuring about 55 x 80 mm infiltrated the right lower lobe superior and basal segments with involvement of the right lower lobe bronchus, pulmonary artery, and vein segmental and subsegmental branches.
Direct invasion of the mass to the mediastinum including the left atrium origin of the right-sided pulmonary veins is also seen.
Fat plan between the bronchogenic mass and esophagus is not seen due to esophageal serosal invasion of pulmonary mass.
The larger mass was biopsied and histopathological examination was compatible with poorly differentiated bronchogenic adenocarcinoma.
Case Discussion
Bronchogenic adenocarcinoma with poorly differentiation was confirmed histologically.
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