Lung mass with bilateral mediastinal hypermetabolic lymphadenopathy in a chronic smoker indicative of lung cancer?

Asghar Ali, Sindhaghatta Venkatram, Masooma Niazi, Gilda Diaz-Fuentes

Research output: Contribution to journalArticlepeer-review

Abstract

We present the case of an asymptomatic woman, a chronic heavy smoker, who presented with an incidental lung mass and mediastinal lymphadenopathy. Bronchoscopy with transbronchial biopsy and endobronchial ultrasound-guided transbronchial needle aspiration did not show malignancy. A positron emission tomography/computed tomography scan showed increased uptake with a standardized uptake value of 26.4 in the mediastinal lymph node and an additional hypermetabolic right supraclavicular lymph node. Surgical biopsy of the supraclavicular node revealed non-necrotizing granuloma. Discussion of the clinical dilemma is provided.

Original languageEnglish
Article number100982
JournalRespiratory Medicine Case Reports
Volume29
DOIs
StatePublished - 2020
Externally publishedYes

Keywords

  • Lung mass
  • PET CT
  • Sarcoidosis

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