Presentation
Abdominal pain and bloating. Iron deficiency anemia.
Patient Data
Age: 70 years
Gender: Female
From the case:
T1b apical lung cancer
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2 cm opacity projected over the anterior aspect of the left 1st rib.
Heart size normal. Right lung clear.
From the case:
T1b apical lung cancer
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2.2 cm spiculated left apical nodule.
The remainder of the lungs are clear.
No mediastinal or supraclavicular lymphadenopathy.
No sinister bone lesion.
Case Discussion
Left upper lobe T1b lung cancer, amenable to CT guided lung biopsy.
A very missable early cancer on the chest radiograph as it projects over a rib. Hence the apices are a review area on chest x-ray.
Just the kind of lung cancer one wants to pick up as it facilitates definitive surgery.
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