January 2014 Imaging Case of the Month

Friday, January 3, 2014 at 1:55PM
Rick Robbins, M.D. in CT scan, cervical mediastinoscopy, differential diagnosis, endobronchial metastasis, enlarged lymph node, enodbronchial metastasis, mediastinal mass, metastatic renal cell cacinoma, miliary pattern, renal cell carcinoma

Michael B. Gotway, MD

 

Department of Radiology

Mayo Clinic Arizona

Scottsdale, AZ

 

Clinical History

A 77-year-old man presented for an executive health physical. His past medical history was significant for coronary artery disease, renal stones, gout, and a left nephrectomy for clear cell renal carcinoma 17 years earlier. Chest radiography (Figure 1) was performed. Prior chest radiographs from the previous year (Figure 2) and 7 years earlier (Figure 3) are shown for comparison.

 

Figure 1. Frontal (A) and lateral (B) chest radiography. 

 

 

 Figure 2. Frontal (A) and lateral (B) chest radiography performed one year prior to presentation. 

Figure 3. Frontal chest radiography performed 7 years prior to presentation.

 

Which of the following statements regarding the chest radiograph is most accurate? (Click on the correct answer to move to next panel)

1. The chest radiograph shows a mass
2. The chest radiograph shows an unusual cardiac configuration
3. The chest radiograph shows basal predominant linear opacities suggesting fibrosis
4. The chest radiograph shows multifocal ground-glass opacity and consolidation associated with linear and reticular abnormalities
5. The chest radiograph shows multiple nodules

Reference as: Gotway MB. January 2014 imaging case of the month. Southwest J Pulm Crit Care. 2014;8(1):27-40. doi: http://dx.doi.org/10.13175/swjpcc002-14 PDF

  

 

Article originally appeared on Southwest Journal of Pulmonary, Critical Care and Sleep (https://www.swjpcc.com/).