Case 62 Lung Cancer With Lymphangitis Carcinomatosis

Smoke Free In One Hour

The Painless Stop Smoking Cure

Get Instant Access

The CXR shows a left upper lobe mass and mid-zone infiltrates with a normal heart size. In addition, there are Kerley B lines (Fig. 62.2) in the periphery of the left mid zone, suggestive of lymphatic distension. These features are consistent with the advanced lung cancer metastasizing to the lymphatics. The prognosis is extremely poor.

Carcinomatosis Pleural

Case 63. This 24-year-old female was asymptomatic. Six months ago, she presented with pneumonia-like symptoms of cough, fever, and purulent sputum. Describe her CXR (Fig. 63.1).

Pneumonic Infiltrate
Fig. 63.2

CASE 63 BRONCHIOLITIS OBLITERANS ORGANIZING PNEUMONIA (BOOP)

The CXR shows a right lower lobe infiltrate which demonstrates some air bron-chograms on CT (Fig. 63.2). In addition, there seems to be a beady appearance to the infiltrates. Pneumonic changes on CXR typically resolve within three months. She subsequently underwent a bronchoscopy and transbronchial lung biopsy which showed BOOP. This is an idiosyncratic reaction sometimes seen in association with drugs, chemical inhalation, connective tissue disease, and various infections. This is usually very steroid-responsive.

Chemical Inhalation
Fig. 64.1

Case 64. This elderly male had hemoptysis and loss of weight over the past three months. His CXR is shown (Fig. 64.1).

Was this article helpful?

0 0
Quit Smoking Today

Quit Smoking Today

Quit smoking for good! Stop your bad habits for good, learn to cope with the addiction of cigarettes and how to curb cravings and begin a new life. You will never again have to leave a meeting and find a place outside to smoke, losing valuable time. This is the key to your freedom from addiction, take the first step!

Get My Free Ebook


Post a comment