Posted By Robert Smith, MD Associate Professor of Medicine, Division Pulmonary and Critical Care Medicine
The patient is an 81 year old male with severe obstructive lung disease who was referred to the pulmonary service for an abnormal chest x-ray prior to femoral-popliteal bypass surgery. The patient complained of chronic dyspnea on exertion but specifically denied hemoptysis, increased cough, fever or night sweats. Initial cxr revealed the following:
A chest ct showed only a spiculated appearing mass in the left upper lobe but was otherwise unremarkable.
A follow-up chest ct done 6 weeks later showed no change in the left upper lobe mass but now revealed additional new findings.