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X Ray: Chest-Homogenous opacity

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X Ray: Chest-Homogenous opacity

  1. 1. X RAY OF THE WEEK <br />PROF.S.SUNDAR UNIT<br />
  2. 2. 73 Year old male admitted with c/o hemoptysis,breathlessness,chest pain and wheeze<br />Smoker for 20 years<br />
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  4. 4. X RAY FINDINGS<br />CHEST X RAY PA VIEW TAKEN IN FULL INSPIRATION<br /> ADEQUATELY PENETRATED SLIGHT ROTATION TO RIGHT<br />TRACHEA SLIGHTLY DEVIATED TO THE RIGHT<br />CARDIOPHRENIC AND COSTOPHRENIC ANGLES ARE FREE<br />RIGHT LUNG FIELDS ARE CLEAR.LEFT LUNG FIELD SHOWS A HOMOGENOUS OPACITY WITH SPICULATED MARGINS IN THE UPPER ZONE <br />CARDIAC SHADOW APPEARS NORMAL<br />NO BONY ABNORMALITIES DETECTED<br />BORDER OF DESCENDING AORTA IS WELL DEFINED WHEREAS THAT OF ARCH OF AORTA AND ORIGIN OF DESCENDING AORTA ARE ILL DEFINED <br />
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  7. 7. IMPRESSION<br /> HOMOGENOUS OPACITY OF ABOUT 7 CM IN DIMENSION WITH SPICULTAED MARGINS SUGGESTIVE IN FAVOUR OF MALIGNANCY WITH MEDIASTINAL INVASION<br />
  8. 8. POINTS IN FAVOUR OF MALIGNANCY<br />DIAMETER &gt;6 CM<br />SPICULTAED MARGIN<br />INVASION OF MEDIASTINUM<br />
  9. 9. CENTRAL IN LOCATION<br />SMALL CELL CA.(74%)<br />SQUAMOUS(64%)<br />LARGE CELL CA.(42%)<br />ADENO CA.(5%)<br />
  10. 10. Symptoms in central growth<br />Cough<br />Breathlessness<br />Hemoptysis<br />Wheeze<br />
  11. 11. CXR IN BRONCHOGENIC CA.<br />MC PRESENTATION-PULMONARY PARENCHYMAL NODULE OR MASS<br />When a central obstructing lesion is present , secondary signs such as lobar atelectasis or unresolving pneumonia might be present rather than visualization of the primary tumor<br />Detection of presence of mediastinal and hilarlymphadenopathy, pleural effusion , involvement of bony thorax<br />
  12. 12. Thank you<br />

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