CXR Case 070
A 58 year old man presents with transient chest pain. Routine CXR as part of work up for suspected pulmonary embolus
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Describe and interpret this CXR and CT Chest
IMAGE INTERPRETATION
CXR Interpretation:
There is a rounded small soft tissue mass in the left lower zone.
Otherwise, lung fields are clear, heart size normal, pleura clear.
CT Chest Interpretation:
There is a rounded (solitary) soft tissue mass in the left lower lobe.
CLINICAL CORRELATION
This is an incidentally found lung cancer.
It should be accessible using CT guidance as a percutaneous biopsy.
CLINICAL PEARLS
Incidentaloma (of any kind) are are found in 15-20% of CTPA performed in the emergency department.
Dependent on the definitions and findings, between 50-60% of these may require subsequent imaging or investigation.
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 | ICIS Course ANZ