Pulmonary hamartoma

Case contributed by Stefan Tigges
Diagnosis almost certain

Presentation

Short of breath.

Patient Data

Age: 70 years
Gender: Male
x-ray

Trace bilateral pleural effusions with adjacent passive atelectasis. Prominent central pulmonary vascular without superimposed edema or pneumonia. Enlarged cardiac silhouette status post sternotomy. Left upper lobe nodule.

ct

No pulmonary embolism. Multichamber cardiac dilatation. Trace left and small right pleural effusion with adjacent enhancing passive atelectasis. Left upper lobe nodule containing calcium and macroscopic fat diagnostic of a hamartoma.

Case Discussion

Typical example of a fat-containing pulmonary hamartoma.

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