Bronchogenic carcinoma

Case contributed by Frank Gaillard
Diagnosis almost certain

Patient Data

Age: 90 years
Gender: Male
x-ray

Large spiculated mass projecting through the left heart border. Extensive scarring with some calcification is also seen in the right apex, overlying the right hilum and more peripherally within the right liung. 

ct

CT confirms the presence of a sizable left lower lobe mass as well as multiple areas of right-sided calcification. The patient is likely anemic (interventricular septum is significantly more dense than adjacent blood). 

Case Discussion

The patient went on to have a biopsy of the left lower lobe mass which was confirmed to be a bronchogenic carcinoma.

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