Presentation
Cough for 6 months.
Patient Data
Age: 50 years
Gender: Male
From the case:
Lung adenocarcinoma presenting as consolidation
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/116385/annotated_viewer_json?lang=us"}
Portable chest x-ray and CT scanogram images show left lower lobe mass-like consolidation.
From the case:
Lung adenocarcinoma presenting as consolidation
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/116387/annotated_viewer_json?lang=us"}
CT scan confirms left lower lobe consolidation. Air bronchograms are present. The right lung is clear, there is no pleural or pericardial effusion, the central airways are patent. No lymphadenopathy.
Case Discussion
This "pneumonia" failed to clear: a subsequent biopsy showed adenocarcinoma. Lymphoma and adenocarcinoma both may have air bronchograms and are two neoplasms that should be considered if pulmonary consolidation persists despite treatment.