CTICasesInvasive Pulmonary Adenocarcinoma
Imaging findings
CT chest in a 45-year-old smoker with rheumatoid arthritis and weight loss shows mediastinal/hilar adenopathy, cystic bronchiectasis, and spiculated, cavitating nodules running along the bronchovascular bundles.
Key takeaways
Primary lung adenocarcinoma can present with a wide variety of patterns, including multifocal spiculated nodules and cavitating masses that follow a bronchovascular or lymphangitic distribution, mimicking autoimmune disease or infectious bronchopneumonia.
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