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