x ray in_a_mass

AMRUT PRITAM SATPATHY

040201221

POINTS TO NOTE IN CXR

Pulmonary hamartoma

Pneumoconiosis( multiple lesions)

Pulmonary emboli

METASTASIS IN LUNG

Usually bilateral, affecting both lungs equally, with basal predominanceFew mms-cmsSpherical with well defined marginCavitation-sq. cell ca.Calcification -rare

Cannon ball opacities

bilateral multiple pulmonary nodules due to metastasis

BENIGN LESIONHydatid Cyst

Smooth Margins

Irregular or spiculated margins of the mass in the right lung present centrally

CENTRAL MASS

Arise centrally,grow slowly and cavitate more often

Squamous cell carcinoma of the right upper lobe

PERIPHERAL MASS

larger,poorly defined , lobulated or umblicated margins

Usually adenocarcinomasCavitate less often

cavitation

Squamous cell carcinoma with cavitation

Cavitary metastasis

CALCIFICATION

CALCIFICATION OF THE MIDZONE SEEN IN TUBERCULOSIS

-obvious mass with bone destruction or asymmetrical pleural thickening

-Arise at the apex

ASSOCIATED RIB DESTRUCTION

PANCOAST TUMOUR