Squamous Cell Carcinoma of the Lung
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Imaging findings
Chest CT shows a large, necrotic lung mass in the right lung. Dynamic contrast-enhanced magnetic resonance angiography demonstrates progressive, heterogeneous enhancement of the squamous cell carcinoma over successive phases, alongside an incidental filling defect in the right lower lobe pulmonary artery representing a pulmonary embolism.
Key takeaways
Dynamic contrast-enhanced MRI can be used to evaluate tumor perfusion and vascularity in lung cancers. MRA can also simultaneously evaluate the pulmonary vasculature for associated complications such as pulmonary embolism, which is common in hypercoagulable oncology patients.
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