CASE 79

PA chest radiograph (Fig. 79.1) demonstrates a dominant polylobular mass in the left upper lobe and a polylobular nodule in the right upper lobe. Unenhanced chest CT (lung window) (Figs. 79.2, 79.3) shows the dominant polylobular mass in the left upper lobe (Fig. 79.2) and the right upper lobe polylobular nodule, which exhibits slightly spiculated borders and a pleural tag (Fig. 79.3). Coronal reformatted unenhanced chest CT (lung window) (Fig. 79.4) illustrates the bilateral upper lobe lung cancers.

Diagnosis

Multicentric Synchronous Lung Cancers

Differential Diagnosis

• Multifocal Infection

• Pulmonary Vasculitis

• Pulmonary Metastases; Atypical Manifestation because of Upper Lobe Involvement

Fig. 79.3

Fig. 79.4

Discussion

Background

Multicentric primary lung cancers can be classified as synchronous or metachronous types. Synchronous lung cancers

Only gold members can continue reading. Log In or Register to continue

Share this:

• Click to share on Twitter (Opens in new window)
• Click to share on Facebook (Opens in new window)

Related posts:

10 Partial Anomalous Pulmonary Venous Return 69 Varicella-Zoster Pneumonia 134 Heroin-Induced Pulmonary Edema 125 Asbestosis 182 Chondrosarcoma 80 Pulmonary Metastases

Stay updated, free articles. Join our Telegram channel

Join