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Case report
A 63-year-old woman was referred to the lung cancer clinic after presenting to the emergency department with a 10-day history of fever, chest tightness and breathlessness. Chest X-ray showed a left-sided retrocardiac mass, and an urgent CT scan was requested.
On review, she reported a 2-month history of intermittent cough and night sweats. She denied weight loss or haemoptysis. She was an ex-smoker. Her medical history included two episodes of pneumonia in the 1980s. There was no history of recurrent childhood infections or exposure to tuberculosis. Performance status was zero and she worked for the NHS as an operating department practitioner.
CT scan demonstrated a left lower lobe mass suspicious for malignancy. Preliminary radiological staging was T4N0M0 (figure 1).
Axial CT image showing left lower lobe mass.
On positron emission …
Footnotes
EN and SM are joint first authors.
Twitter @mnbittar
MD and DR contributed equally.
Contributors SM and EN contributed to writing the article and approved the final manuscript. MD and DR provided the radiological images and approved the final manuscript. MB performed the surgical resection and approved the final manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.