Presentation
Dyspnea and raised D-dimer. Suspicion of pulmonary embolism.
Patient Data
Age: 60 years
Gender: Male
From the case:
Lung adenocarcinoma
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Extensive low attenuation right perihilar consolidation with long-segment air-bronchograms which demonstrate only mild irregularity and no obvious distortion.
Encased pulmonary artery branches and relatively poor enhancement in the right upper lobe.
Contiguous mediastinal infiltration and lymphadenopathy stenosing the superior vena cava.
Multiple bilateral well-demarcated nodules compatible with airways spread of tumor.
Right pleural effusion.
Left adrenal nodule, indeterminate.
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Case Discussion
Lung adenocarcinoma presenting as a dense pneumonic consolidation with mediastinal infiltration, lymphadenopathy and lung metastases.
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