CXR Case 066

A 71 year old male presents with a self terminating first seizure.

CXR CASE 066 CXR LITFL

Describe and interpret this CXR

CHEST X-RAY INTERPRETATION

There is a rounded soft tissue mass in the right lower lobe with probable ipsilateral hilar adenopathy.
There is a further smaller lesion in the left upper lobe laterally.
The pleural spaces are clear.


CLINICAL CORRELATION

This is likely to be lung cancer.
The lesion on the left side suggests metastases are present and the seizure should alert to the possibility of cerebral metastases.


CLINICAL PEARLS

About 40% of non small cell lung cancer is diagnosed at an advanced stage (stage 4), contributing significantly to the poor outcome (<10% 5 year survival).


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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