Lung cancer on shoulder film - FRCR viva film

Discussion:

Classic FRCR viva or 2B rapid reporting film.

a. Pathology on the periphery of film.

b. Represetation of findings to query the candidates next management advice

Eg, I would report the film as an ALERT to the GP with advise for a chest x-ray to be performed and prompt referral to a respiratory physcian for further assessment.

c. In the case of a viva film, a CT may follow and further description required and staging of the tumor to be given.

Eg,  CT shows a T4,N1,M1 (liver) lung cancer.   Referral to Lung Cancer MDT indicated.

 

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