A 69-Year-Old With Lung Mass and Mediastinal Lymphadenopathy on Chest Computed Tomography

A 69-year-old woman reported a persistent cough producing clear sputum for the past 2 months. The patient had a history of tobacco use but none within the past 10 years. She had been treated empirically with antibiotics for bronchitis without a change in her cough. A chest radiograph was obtained that revealed a left upper-lobe lung mass. Subsequently, a computed tomography (CT) scan of the thorax and upper abdomen was obtained. In addition to the left upper-lobe lung mass, there was an enlarged lymph node in the aortopulmonary window. There was no evidence of extrathoracic disease.

Abbreviations used in this paper: CT, computed tomography, EBUS, endobronchial ultrasound, EBUS-TBNA, endobronchial ultrasound–guided transbronchial needle aspiration, EUS, endoscopic ultrasound, EUS-FNA, endoscopic ultrasound–guided fine-needle aspiration, NSCLC, non–small-cell lung cancer, PET, positron emission tomography

⁎ Division of Gastroenterology and Hepatology, Medical University of South Carolina, Charleston, South Carolina

‡ Division of Pulmonary and Critical Care, Medical University of South Carolina, Charleston, South Carolina

Address requests for reprints to: Shivakumar Vignesh, MD, 210 CSB, Division of Gastroenterology and Hepatology, Medical University of South Carolina, 96 Jonathan Lucas Street, Charleston, South Carolina 29425

Supported by Olympus America, Center Valley, PA (B.V., G.A.S., and B.H.).

PII: S1542-3565(07)00632-5

doi:10.1016/j.cgh.2007.06.016

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