rad553 2010 on line4 lung neoplasm - msu radiology › ... › unit4 › unit4_pdf ›...

4/28/2010

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Lung Neoplasm

Left Upper Lobe Neoplasm

• Scout view• Scout-view from CT scan

• Mass clearly seen (arrowhead)

• Node seen in suprahilarregion (arrow)

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Squamous Cell

Neoplasm pLeft Lung

• 3 cm cavitatedlesion leftlesion left mid-lung

• Left hilarmass – likely node

Left Lung Neoplasm

• Associated atelectasis of the LUL

• Slight shift of the midline structuresstructures

• Slight over expansion of right lung

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Left Lung Neoplasm• Lateral view• Collapse of upper

lobe represented by a zone of increased density i t iin upper anterior chest (arrows)

Bronchogenic Neoplasm

• Infiltrating bronchogenic cancer in left hilum

• Large mass somewhat lobular in right lower lung representing metastases

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Bronchogenic Neoplasm

• Small irregular mass in the left upper lung

Bronchogenic Carcinoma

• Large rightLarge right peri-hilar mass

• Remaining lungs are clear

• Possible fullness to the right hilum

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Bronchogenic Carcinoma

• Mass posterior to the hilum

• Enlarged hilum on the l t llateral, possible nodes

Neoplasm

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Lymphangitic Spread of Neoplasm

Mediastinal Seminoma

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Bronchogenic Carcinoma

Mediastinal Mass?

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Bronchogenic CA with venous obstruction

Bronchogenic Neoplasm

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Neoplasm with Atelectasis

Solitary Pulmonary Nodule

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Pancoast Tumor

Adenocarcinoma in this patient

Cavitary Neoplasm

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Metastatic Neoplasm

• MultipleMultiple nodules

• Varied sizes • Throughout

both lungsg

Solitary Pulmonary Nodule

• Evaluate for t b li llmetabolically

active process• Confirm

abnormality of solitary lung nodulesolitary lung nodule

• Metastatic node(s) in hilum

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Solitary Pulmonary Nodule

Lung Neoplasm PET Imaging