79 Multicentric Synchronous Lung Cancers

CASE 79


image Clinical Presentation


76-year-old woman with chest discomfort and weight loss


image Radiologic Findings


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.


image Diagnosis


Multicentric Synchronous Lung Cancers


image Differential Diagnosis


• Multifocal Infection


• Pulmonary Vasculitis


• Pulmonary Metastases; Atypical Manifestation because of Upper Lobe Involvement



image


Fig. 79.1



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Fig. 79.2


Jan 14, 2016 | Posted by in RESPIRATORY IMAGING | Comments Off on 79 Multicentric Synchronous Lung Cancers
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