CXR Case 065

A 78 year old female presents with haemoptysis

click images to enlarge


Describe and interpret this CXR and CT chest

CHEST X-RAY INTERPRETATION

CXR Interpretation
There is a large soft tissue mass in the medial right lower zone.
Volume loss in the right hemithorax.
Lung fields otherwise clear, pleura clear.

CT Chest Interpretation
CT confirms the presence of a large soft tissue mass in the medial right lower lobe.


CLINICAL CORRELATION

This is a likely primary lung cancer.
Biopsy will be possible percutaneously or via bronchoscopy.


CLINICAL PEARLS

On the CXR we can tell that this tumour is in the medial segment of the right lower lobe because the right heart border is intact, indicating that the middle lobe is aerated.


TOP 150 CXR SERIES



Prof Fraser Brims Curtin Medical School, acute and respiratory medicine specialist, immediate care in sport doc, ex-Royal Navy, academic| Top 100 CXR | Google Scholar |

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