Dr Khawaja Khurshid Ahmad
Associate Professor of Radiology
King Edward Medical University /
Mayo Hospital , Lahore
Diagnosis
• Primary lung cancer (adenocarcinoma) in
RLL with miliary metastasis and pericardial
seeding
History
• Age / Sex 21 /M
• Chief complaint Palpable chest
wall mass and
neuralgia in gaiting for
one month
History
• Age / Sex 32 / M
• Chief complaint Weight loss , fatigue,
and poor oral intake for
two months
Reference Sources
• Teaching files of Radiology Department Mayo
Hospital , Lahore
• Teaching Files of Prof MA Jawed Siddiqui
• Website www.xray2000.co.uk
• Website www.Chestxrayatlas.com
• Academic cases of Korean Society of Thoracic
Radiology
Sarcoidosis
Radiologic Findings
• Chest radiograph shows poorly-defined, patchy opacities in the bilateral lungs, involving mainly mid and lower zones with hilar enlargement and right paratracheal mediastinal widening.
• Kerley's lines are seen in the lower lung zones with right pleural effusion.
• Thin-section CT scans show extensive ground-glass opacities in the both lungs sparing peripheral regions.
• Bronchovascular bundles are markedly thickened and interlobular septal thickening are also seen with fine subpleural micronodules.