CXR Case 070

A 58 year old man presents with transient chest pain. Routine CXR as part of work up for suspected pulmonary embolus

click images to enlarge


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 |

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