Monday, September 23, 2013

Case review 3: Bronchial carcinoma


A 41 year old man had a routine chest x-ray done as part of his medical check up.  
Look at the x-ray above. There is an opacity in the right upper zone overlying the right 6th posterior rib. Is this a lung nodule or callus formation from an old fractured rib?

Not sure? Look at the magnified image below:

X-ray findings

The nodule doesn't exactly overlie the 6th rib. Thus, it is unlikely to be bone callus.
The nodule has inhomogenous density and irregular margin. 
Bronchial carcinoma is a strong possibility.

Further management
The next course of action would be to do CT chest and bronchoscopy. 

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