Instructions
You are a medical student on placement in the respiratory clinic. Margaret Dwyer, 64, is here for the result of a CT chest arranged for a cough that did not settle with antibiotics. The report is below.
Take a focused history
Explain the CT result and your management plan to the patient
CT chest with contrast (report)
| Item | Value | Reference range |
|---|---|---|
| Report | There is a 3.5 cm spiculated soft tissue mass in the posterior segment of the right upper lobe, abutting but not clearly invading the pleura. An enlarged right hilar lymph node measures 1.8 cm in short axis. No mediastinal lymphadenopathy. No pleural effusion. Centrilobular emphysema. The imaged liver and adrenal glands are normal. Impression: spiculated right upper lobe mass with right hilar lymphadenopathy, highly suspicious for primary bronchogenic carcinoma. Tissue diagnosis and PET staging recommended. | n/a |
Reported by a consultant thoracic radiologist.