Presentation
Chest pain. Heavy smoker.
Patient Data
Age: 65 years
Gender: Female
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Highly unusual mass with a horizontal inferior border in a patient with signs of chronic airways obstruction and bullous emphysema.
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Gross bullous emphysema with a spiculated mass in the posterior segment of the right upper lobe abutting and limited by the oblique fissure. This is unusual for cancer i.e. it tends to grow inexorably and to displace/invade the fissure rather than be limited by it.