An 86 year old man presents with worsening cough and haemoptysis. He stopped smoking 25 years ago.
Describe and interpret this CXR
CHEST X-RAY INTERPRETATION
There is deviation of the trachea to the right with associated right upper lobe collapse.
The right hilum appears prominent. Pleural spaces clear.
This is likely to be lung cancer. A CT chest and bronchoscopy are indicated.
Approximately 15 years after quitting tobacco smoking the relative risk of developing lung cancer falls to similar to that of a never smoker, however, the cumulative risk remains raised.