Bronchogenic carcinoma with lymphangitic spread
Diagnosis almost certain
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Diagnostic Certainty
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.
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Findings
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CT scout image reveals an ill defined opacity of the right parahilar region. CT images reveal an ill defined, irregular shaped spiculated soft tissue lesion occupying the anterior segment of right upper lobe. There is associated septal thickening, thickening and nodularity of the bronchovascular bundle and lymphadenopathies especially the right hilar, right lower paratracheal and subcarinal groups, some of them show calcification. Mild right pleuaral effusion is noted.
Diagnosis: Bronchogenic adenocarcinoma (pathology proved) with lymphangitis carcinomatosis
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