Clinical summary: A 71-year-old man had a history of alcoholic cirrhosis, mild COPD, bilateral deep vein thrombosis, and a lung nodule, first noted in 1991 on a routine chest radiograph. The patient refused any investigation of the nodule, which grew from 2.5 cm to 3.5 cm in 9/95 and enlarged again by 1/97. He denied constitutional symptoms, hemoptysis, and weight loss. He smoked 5-6 cigars/da until 1972 but then stopped. Chest examination was normal. His FEV1 was 2.06 L. Chest radiographs and CTs, but no biopsy, preceded surgical removal in 2/97.
Radiology | Image 1 | Image 2 | Image 3 | Discussion
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