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FINDINGS: | |
Mass effect and endobronchial tumor invasion result in severe focal stenosis of right middle lobar bronchus. Subsegmental mucus plugging in lateral segment right middle lobe, peripheral to central right middle lobe lung mass (described below). | |
No pneumothorax. No pleural effusion. | |
Right middle lobe hyperlucency, compatible with lobar air trapping. Solid, well-circumscribed, enhancing 33 x 25 mm central right middle lobe lung mass. No consolidation elsewhere. Very mild dependent atelectasis in lower lobes. Subsolid 3 mm nodule in posteromedial right upper lobe. | |
Enlargement of right heart chambers. No pericardial effusion. No thoracic aortic aneurysm. Mild thymic hyperplasia. | |
No bulky thoracic lymphadenopathy. | |
Cholelithiasis. | |
No aggressive destructive skeletal focus. Mild thoracic spine degenerative disk disease. | |
IMPRESSION: | |
1. Solid, enhancing 33 x 25 mm central right middle lobe lung mass with apparent endobronchial invasion and associated right middle lobe air trapping; imaging features favor carcinoid tumor. | |
2. No bulky thoracic lymphadenopathy. | |
3. Nonspecific 3 mm right upper lobe lung nodule. | |
RECOMMENDATION: | |
>> Pulmonary consultation. |