Incidental thoracic aortic pseudoaneurysms and pulmonary squamous cell carcinoma
Diagnosis almost certain
Presentation
Shoulder trauma.
Patient Data
Age: 85 years
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No visible shoulder fracture.
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No evidence of fracture.
Lobulated, spiculated subpleural mass in the left upper lobe (LUL).
Case Discussion
History notable for 120 pack years of smoking, ischemic heart disease, severe peripheral vascular disease, and COPD.
Shoulder X-rays obtained to rule out fracture. CT shoulder done without waiting for an official reading, to search for an occult fracture.
Incidental LUL mass highly suspicious for carcinoma. Pathology report: squamous cell carcinoma, moderately differentiated, keratinizing.
Incidental aortic outpouchings, most probably pseudoaneurysms. Mycotic aneurysms can be ruled out, as no history of infection.
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