Dr. Pepe’s Diploma Casebook: Case 61 – SOLVED!

Diploma_casebook_case61

Dear Friends,

Today I am presenting pre-op chest films of a 48-year-old man with renal carcinoma. How will you define the lesion at the right cardiophrenic angle?

1. Benign nodule
2. Primary malignancy
3. Metastatic nodule
4. Can’t tell

Check the images below, leave your answer in the comments and come back on Friday for the answer.


Q1

Q2

Click here for the answer

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    13 Responses to : Dr. Pepe’s Diploma Casebook: Case 61 – SOLVED!

    1. Pio says:

      It looks like hamartoma (popcorn calcifications?). 1. Benign nodule

    2. genchi bari italia says:

      ….3 anni prima il Cr renale….a quell’epoca sicuramente ha fatto un rx-torace pre-operatorio….se la “coin lesion” non era presente potremmo prendere in considerazione una metastasi o un tumore primitivo”metacrono”…se era già presente allora in base alle caratteristiche dei margini, “regolari” e delle calcificazioni intranodali, “grossolane” , la prima ipotesi diagnostica è per AMARTOMA polmonare!

    3. gus says:

      hamartoma !!!! dont touch lesion

    4. dr_amira says:

      Benign nodule, very well defined. This is a common site for pleuro-pericardiac cyst. But considering internal dense foci may go more with hamartoma.

    5. Akram says:

      1- benign nodule ( Hamartoma)

    6. Jose Caceres says:

      What can I say? Yuo are all very smart!

    7. Harlem Gongxeka says:

      Harmatoma

    8. sj says:

      Can’t tell

    9. Dr Rastgou says:

      Hamartoma

    10. Shehz says:

      Benign nodule.

    11. mahwash says:

      hamartoma, lesion show calcification.

    12. Rilinda Cela says:

      Benign nodule

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