CTICasesIndolent Pulmonary Adenocarcinoma
Imaging findings
CT scan shows a small, subcentimeter juxtapleural nodule in 2015. Serial scans over 4 years show slow, indolent growth into a larger, speculated nodule. Resection confirmed primary pulmonary adenocarcinoma.
Key takeaways
Intrapulmonary lymph nodes can reside within 1-2 cm of the pleura and mimic small nodules. However, any indolent growth over years must be biopsied, as early-stage adenocacinomas can grow very slowly.
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