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