CTICasesAdenocarcinoma Developing in Emphysema
Imaging findings
Serial chest radiographs over several years show a subtle abnormality at the left apex that was present but undetected for a long time. By 2019 it was recognized and went to CT, showing a large bubbly adenocarcinoma in a patient with severe underlying emphysema; the soft-tissue component along the superior margin was biopsy-confirmed.
Key takeaways
A bubbly adenocarcinoma can develop slowly against a background of severe emphysema and be very difficult to detect on radiographs over years, making it an instructive eye-test for insidious lung cancer. Careful attention to the apices and comparison across serial studies help catch such slowly evolving cancers.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Infected Aortic Endograft with Serratia AortitisInfection
- Diffuse Skin Thickening in Chronic Kidney Disease and DiabetesOther
- Apicoaortic Conduit for Aortic Stenosis with Porcelain AortaArtifact
- Chronic Sarcoidosis with Mycetomas and Cardiac InvolvementAutoimmune
- Pulmonary Embolism with Westermark SignVascular
- Post-Pneumonectomy Mediastinal Rotation (Buffalo Chest)Artifact
- Angioinvasive MucormycosisInfection
- Peripheral Rhizopus Infection with Necrotic Sequestrum and EmpyemaInfection
See all cases from October 24, 2020 →
Related Neoplastic cases
- Intravascular Pulmonary Metastases with Infarction
- Occult Lower Lobe Collapse from Endobronchial Carcinoid
- Systemic Langerhans Cell Histiocytosis
- Right Atrial Epithelioid Hemangioendothelioma
- Solitary Renal Cell Carcinoma Metastasis to the Anterior Mediastinum
- Ewing Sarcoma Metastasis invaginating a Pulmonary Vein