EURORAD ESR

Case 15157

Endobronchial spread in pulmonary adenocarcinoma

Author(s)
Pereira da Silva, Francisco (1); Donato, Paulo(1, 2); Abreu, Adelaide (1); Caseiro-Alves, Filipe (1, 2)

1: Centro Hospitalar e Universitário de Coimbra;
2: Faculdade de Medicina da Universidade de Coimbra;
Email:fm.pereira.da.silva@gmail.com
 
Patient
female, 72 year(s)
 
 
  • Figure 1
    Chest radiograph
     

    Chest radiography (front and profile): opacity in the upper lobe of the right lung, apparently respecting the fissure.

     
    Area of Interest: Lung; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Chest radiography (front and profile): opacity in the upper lobe of the right lung, apparently respecting the fissure.

     
    Area of Interest: Lung; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    Follow up CT - Comparison to baseline radiograph
     

    CT six weeks after (lung window, coronal reformat) with baseline radiograph for comparison to the left - persistent right upper lobe consolidation with tapered air bronchogram.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    CT six weeks after (lung window, sagittal reformat) with baseline radiograph for comparison to the left - persistent right upper lobe consolidation in the posterior segment, and apparent transfissural spread.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    Computer tomography
     

    Axial CT (lung window). Multiple well-defined nodes (circle) in the same lobe of upper lobe consolidation involving mainly the posterior segment.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Axial CT (soft tissue window), post e.v. contrast. Consolidation shows homogeneous enhancement and tapered air bronchogram (arrow).

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
Chest radiography (front and profile): opacity in the upper lobe of the right lung, apparently respecting the fissure.
 
Chest radiography (front and profile): opacity in the upper lobe of the right lung, apparently respecting the fissure.
 
CT six weeks after (lung window, coronal reformat) with baseline radiograph for comparison to the left - persistent right upper lobe consolidation with tapered air bronchogram.
 
CT six weeks after (lung window, sagittal reformat) with baseline radiograph for comparison to the left - persistent right upper lobe consolidation in the posterior segment, and apparent transfissural spread.
 
Axial CT (lung window). Multiple well-defined nodes (circle) in the same lobe of upper lobe consolidation involving mainly the posterior segment.
 
Axial CT (soft tissue window), post e.v. contrast. Consolidation shows homogeneous enhancement and tapered air bronchogram (arrow).
 
 
 
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