01/08/2001
Left sided chest pain and chest tightness; labored inhalations.
01/08/2001
CXR: Approx. 5 cm lesion in right lower lobe, mediastinal opacity.
01/13/2001
CT chest: 5 x 5 x 5.5 cm mass at night medial base posteriorly, malignancy is likely
01/16/2001
Bronchoscopy with needle aspiration: Fungating mass in RLL, aspirated.
None-contributory
01/20/2001
Thoracotomy: Extension to mediastinum noted. Biopsy taken; tumor is inoperable.
01/16/2001
Aspiration: consistent with carcinoma.
01/20/2001
Biopsy: Poorly differentiated carcinoma, massively necrotic, consistent with small cell morphology.
Inoperable.
01/31/2001
Started XRT: 4500 rads to primary tumor, hilum, and mediastinum Chemo: Cisplatin and Etoposide