Case22-1 (A Smoker's Fate)

Case22-1 (A Smoker's Fate) - Case 22: Smokers’ Fate • A...

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Unformatted text preview: Case 22: Smokers’ Fate • A 64-year-old male factory worker presented with a history of chest pain and hemoptyses . He had: – Lost more than 3 kg in weight in the last four weeks and felt “run down” – smoked heavily since adolescence • Physical examination revealed a cachectic , nervous man with decreased breath sounds on the right side of the chest. • Endoscopic examination (bronchoscopy) was performed Case 22: X-ray & CT Study • 1. Right Upper Lobe Mass – A large mass is present in the right upper lobe and is visible on the chest X- ray (left panel) and the CT scan (right panel). The X-ray shows that the tumor has eroded the rib and vertebra and spread into the soft tissue. The CT scan confirmed the X-ray findings and demonstrated erosion of cervical vertebrae, as illustrated above. In addition, the CT scan demonstrated enlarged mediastinal nodes (not illustrated) Tumor Erosion of Rib & Ver Return Next Slide Previous Slide Case 22: X-ray % CT Study • 1. Right Upper Lobe Mass1....
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This note was uploaded on 01/09/2011 for the course PATH 128 taught by Professor Reisner during the Fall '10 term at UNC.

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Case22-1 (A Smoker's Fate) - Case 22: Smokers’ Fate • A...

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