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