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Case #5

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Expand Primary Site

Right upper lobe, lung.

Expand Physical Exam

10/12/XX

Lungs: Decreased breath sounds and wheezes on right

Expand X-Rays & Scans

10/12/XX

Chest X-ray: Large right pleural effusion with complete opacification of lower lobe of the right lung. 4 to 5 cm mass in R upper lobe, probable malignant neoplasm.

08/23/XX

Chest X-ray: Mass effect in R suprahilar area. Ill-defined infiltrate, right lower lung field.

10/15/XX

CT chest: Large suprahilar mass = 5.0 x 4 x 3 cm on right with some calcifications. Obvious carcinoma in 2 enlarged mediastinal LNs, 1 of which is greater than 2 cm in diameter.

Expand Scopes

11/01/XX

Bronchoscopy: Right lower lobe appeared edematous; large friable adenocarcinoma in R upper lobe.

Expand Laboratory

10/15/XX

Alk phos: 102 (normal 69 -241).

Expand Operative Findings

None

Expand Pathological Reports

11/01/XX

Cytology: Undiff adenocarcinoma in pleural fluid, three specimens.

11/01/XX

Bronchoscopic biopsy: Small fragment of R upper lobe with necrosis and anaplastic adenoca.

Expand Treatment

11/11/XX

Chemotherapy: began cisplatin and Velban (vinblastine).