Techniques : MDCT were performed though chest in pre and post IV contrast injection with lung window
History of rule out lung mass
FINDINGS : The study reveals large heterogeneous mass at lingular segment close to left upper lobe bronchus and invasion pericardium. Size of mass is measured 3.7*7.0*5.0 cm surrounding infiltration.
Pericardial effusion 1.0 cm with pericardial wall enhancement is seen Contiguous node enlargement at right paratracheal 1.1 cm, left paratracheal 1.3 cm, subaortic 1.5 cm, subcarinal 1.5 cm, right hilar node 1.0 cm
No cardiomegaly is noted
Multiple nodules at both lobe thyroid gland are seen
Plate like atelectasis at right middle lobe is visualized
Fibrosis at both lower lobes,right middle lobe and lingular segment are seen
Few nodules at both lower lobes of lung are seen
No pleural effusion is noted
Focal IHD dilatation at left hepatic lobe is seen. Faint nodule 0.6 cm at hepatic
segment 6 is noted
Visualized both kidneys, adrenal glands, spleen are unremarkable
Marginal osteophytes compatible with degenerative spines
Impression
1. Large lung mass at lingular segment invasion pericardium with encasment left upper lobe bronchus, suspected lung cancer
2. Pericardial effusion
3. Mediastinal lymphadenopathies
4. Lung fibrosis
5. Focal IHD dilatation at left hepatic lobe
6. Faint focal nodule at hepatic segment 6, metastasis is possible