Abnormal shadow on chest radiograph: a supra – or infradiaphragmatic finding?
PDF

Keywords

solitary pulmonary nodule
breast cancer
pulmonary hamartoma
liver calcification

How to Cite

Biernacka-Racicot, K., Łukaszewski, M., Nowański, M., Socha, B., & Grzelak, P. (2021). Abnormal shadow on chest radiograph: a supra – or infradiaphragmatic finding?. Wiedza Medyczna, 3(2), 41-44. https://doi.org/10.36553/wm.99

Abstract

Incidental findings on chest X-ray of oncological patients need further evaluation in contrast-enhanced computed tomography (CT). We report two cases of abnormal shadows, detected on radiograph, in patients with breast cancer: the first one projected under the left hemidiaphragm and the second one obscuring the right hemidiaphragm. Both patients were asymptomatic, subjected to a surgery and to a CT. The first scan revealed a 15 mm diameter nodule in left lung with smooth margins and central calcifications. Whereas, the second exam showed a subcapsular, ring, calcified lesion in the liver. In both cases, CT was essential for staging and therapeutic choice.

https://doi.org/10.36553/wm.99
PDF

References

1. MacMahon H, Naidich DP, Goo JM, et al. Guidelines for management of incidental pulmonary nodules detected on CT images: from the Fleischner Society 2017. Radiology. 2017; 284(1):228-243. doi: 10.1148/radiol.2017161659
2. Diederich S, Das M, Solitary pulmonary nodule: detection and management. Cancer Imaging. 2006; 6(Spec No A):42-46. doi:10.1102/1470-7330.2006.9004
3. Li X, Hou Y, Shi T, et al. Clinicopathological characteristics and genetic analysis of pulmonary carcinoid tumors: A single-center retrospective cohort study and literature review. Oncol Lett. 2020; 19(3):2446-2456. doi: 10.3892/ol.2020.11347
4. Queiroz RM, Santana DBF, Nastri Filho R, et al. Endobronchial carcinoid tumor: Radiological findings of a clinical case. Rev Assoc Med Bras (1992). 2018; 64(1):15-18. doi: 10.1590/1806-9282.64.01.15
5. Lu Z, Qian F, Chen S, et al. Pulmonary hamartoma resembling multiple metastases: A case report. Oncol Lett. 2014; 7(6):1885-1888. doi:10.3892/ol.2014.2043
6. Patnana M, Menias CO, Pickhardt PJ, et al. Liver Calcifications and Calcified Liver Masses: Pattern Recognition Approach on CT. Am J Roentgenol. 2018; 211(1):76-86. doi: 10.2214/AJR.18.19704
7. Takahashi H, Kiyoshima M, Kaburagi T, et al. Influence of radiologic expertise in detecting lung tumors on chest radiographs. Diagn Interv Imaging. 2019; 100(2):95-107. doi: 10.1016/j.diii.2018.08.015
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Metrics



Downloads

Download data is not yet available.