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Incidental Lung Cancer Detected on Cardiac Calcium Score

Imaging findings

On a cardiac calcium-scoring CT limited to the heart, no abnormality is apparent within the narrow field of view; however, when the full chest field of view is reviewed, a lung cancer is visible that would otherwise have been missed.

Key takeaways

The lesion was resected and had not yet spread, underscoring the importance of reviewing the entire available field of view, including the scout image, on cardiac-only studies such as calcium scoring rather than restricting interpretation to the heart alone, even when referring cardiology colleagues prefer a narrower read.

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