June 2020 pulmonary case of the month: twist and shout

Abstract

No abstract available. Article truncated after 150 words. History of Present Illness An 83-year-old man presented with a left upper lobe lung nodule. The nodule was noted on a routine follow-up chest radiograph obtained after a radical cystectomy and left nephro-ureterectomy done 9 months earlier for invasive bladder cancer as well clear cell carcinoma of left kidney. He had symptoms of a mild chronic cough but denied shortness of breath with activities of daily living. PMH, SH, FH • Prostate cancer, post prostatectomy in 2009. • Bladder cancer and left renal cell cancer resected in Jan 2019 • Post-op chemotherapy after bladder and left kidney resections • Non-ischemic cardiomyopathy, possibly due to chemotherapy, EF 45% • Chronic atrial fibrillation • Smoking history: 60 pack years, no occupational exposures Physical Examination Other than an irregular pulse, his physical examination was unremarkable. Medications • Warfarin • Atorvastatin • Hydrochlorothiazide • Ramipril • Atenolol Radiography The initial chest radiograph is shown …

Keywords

• uroepithelial carcinoma
• metastasis
• lung
• solitary nodule
• treatment
• lung torsion
• pneumonectomy
• ct scan
• chest x-ray
• bronchoscopy