Caceres’ Corner: Case No.3 (Update: Solution)

 

Welcome to case number three!

My wife, who works in a primary care centre, sent this case to me. The patient is a 76 year-old male, who was operated on three years ago for carcinoma of the larynx. The PA and lateral radiographs show two nodular lesions in the lower lung fields.

The obvious response is metastatic disease. But the Muppet, trying to impress both of us, suggested an alternative diagnosis.

Can you guess the Muppet’s diagnosis?

 

76 year-old male with two nodular lesions in lower lung fields (PA)

76 year-old male with two nodular lesions in lower lung fields (PA)

76 year-old male with two nodular lesions in lower lung fields (lateral)

76 year-old male with two nodular lesions in lower lung fields (lateral)

 

Click here for the answer to case #3

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20
Oct 2011
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DISCUSSION 23 Comments

23 Responses to : Caceres’ Corner: Case No.3 (Update: Solution)

  1. Tatyana says:

    syphilitic lesion or lung tuberculosis

  2. Mohammed Noeman says:

    Atelektasis of the Middle lobe

  3. khaled says:

    Bronchial carcenoma with atelectasis segment

  4. Frank says:

    Because the patient is a smoker, the patient has a bronchial carcinoma in both power lobes. Unfortunate man.

  5. Frank says:

    I meant lower lobe, not power lobe.

  6. Katerina says:

    second primary lung carcinoma

  7. Nuno Silva says:

    It’s a fish!

  8. M.S.L says:

    Lung abscess

  9. Grischenkov Aleksander says:

    Bronchial carcenoma with atelectasis segment in right lung, and metastasis to the lymph node left lung

  10. girish kulkarni says:

    -prominent air shadow to the left of upper trachea -?pharygeal pouch/esophageal diverticulum or post op change. -nodular lesions with lobulated margins in the lower lobes with reticulonodular shadowing. -plate atelectasis adjacent to left hemidiaphragm . Possible diagnoses are :changes of aspiration (mineral oil). Benign lesions like hamartoma/pulmonary manifestations of laryngeal papillomatosis/bronchocele

  11. yzsener says:

    can it be lymphangitis carsinomatoza ?

  12. ardeshir says:

    it is two pulmonary abscess without entrance to bronch

  13. aca says:

    round atelectasis and encapsulated pleural effusion-anterior C-F sinus is obliterated by effusion and spread it in a major incisura …dif.dg.Renal Ca meta,nodular benign lesions,hamartoma but have no pop corn changes in it,A-V malformation….earlyer radiographics must be checked too 🙂

  14. Gotzon Iglesias says:

    He had a carcinoma of the larynx so he was probably smoker. The bronchial walls are thickened due to chronic bronchitis. He could also have bronchiectasias that are now filled with mucus. Nevertheless, I´d recommend a non-contrast CT.

  15. Anna says:

    Professor thank you once again for challenging case.

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