66 yo F smoker with worsening chronic cough

Case and content by Lauren Brown, MD
Expert radiology interpretation by David Godwin, MD


OBJECTIVES

CASE

66 yo woman with 30 pack-year tobacco smoking history presents to clinic with an intermittent, but worsening non-productive cough over the last year.  She had one episode of scant hemoptysis.  She denies fevers, chills, and night sweats.

Vital signs and physical examination is normal.  She has lost 15lbs since over the past year.

CXR

How can you differentiate an intrapulmonary mass from a mediastinal mass?

What signs indicate volume loss, raising the question of central bronchial obstruction?


DIAGNOSIS AND OUTCOME

TAKE HOME POINTS