• Lung India · May 2018

    Case Reports

    A diagnostic challenge: An incidental lung nodule in a 48-year-old nonsmoker.

    • Blake Eric Christianson, Supriya Gupta, Shikhar G Vyas, Helena Spartz, and Jayanth H Keshavamurthy.
    • Medical College of Georgia, Augusta, GA, USA.
    • Lung India. 2018 May 1; 35 (3): 251-255.

    AbstractA 43-year-old female with a medical history of renal stones, hypertension, diabetes mellitus Type 2, and depression presented to her urologist with bilateral flank pain. She complained of worsening exertional dyspnea over the last several months with recent weight gain. She also endorsed night sweats and intermittent, scant hemoptysis over the past year. She denied fever, chills, nausea, vomiting, diarrhea, constipation, hematuria, or excessive joint or muscle pain. Physical examination was unremarkable. Computed tomography scan of abdomen and pelvis demonstrated bilateral nonobstructing renal stones and a 1.8 cm × 1.7 cm nodular opacity in the right lower lobe of the lung, not present on previous scan 1 year prior. Surgical wedge resection was performed and subsequent pathologic examination demonstrated a 1.2 cm × 0.6 cm × 0.5 cm soft, gelatinous well-demarcated mass in the right lower lobe wedge specimen without gross evidence of necrosis or hemorrhage confirming colloid adenocarcinoma of the lung.

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