x ray in_a_mass
TRANSCRIPT
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