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Atypical radiological presentation of pulmonary adenocarcinoma
Manifestación radiológica atípica de un adenocarcinoma pulmonar
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The patient had no dyspnoea, weight loss or other accompanying symptoms. Her medical records only included a previous diagnosis of atrial fibrillation, and she was under treatment with rivaroxaban. The physical examination was unremarkable. A chest CT scan showed a 22 mm lung nodule located in the upper segment of the left lower lobe (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>, arrow), surrounded by an extensive ground-glass area and septal thickening <span class="elsevierStyleItalic">(crazy-paving)</span> suggesting the presence of perilesional haemorrhage (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>, asterisk). Positron emission tomography showed increased uptake of 18F-fluorodeoxyglucose by the nodule (SUVmax 24.88) and by a left supraclavicular lymph node (SUVmax 7.76). Ultrasound-guided biopsy of the lymph node was compatible with pulmonary adenocarcinoma.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Lung cancer is one of the most common malignancies in the world, with adenocarcinoma accounting for approximately half of the cases. Although the most common symptom in this condition is cough, haemoptysis may occur in more than 25% of patients.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Martin-Deleon R, de Alba-Aparicio M. Manifestación radiológica atípica de un adenocarcinoma pulmonar. 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