CTICasesHidden Lung Cancer
Imaging findings
This case highlights the difficulty in perceiving lung lesions on chest radiographs. A lung cancer, which eventually grew to a couple of centimeters, was initially missed due to its location in the upper and medial right hemithorax, adjacent to the mediastinum, and partly superimposed on structured noise like ribs. Over several years, it slowly grew and eventually presented with hemoptysis.
Key takeaways
Even relatively large lung cancers can be very difficult to perceive on chest radiographs when located in challenging areas, such as adjacent to the mediastinum or posterior to ribs, due to summation effects and normal anatomical structures. The failure to perceive such lesions, even when large, in difficult locations often does not represent a breach of the standard of care.
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