Yonsei Med J.  2009 Aug;50(4):591-593. 10.3349/ymj.2009.50.4.591.

A Pulmonary Nodule due to Pulmonary Infarction Diagnosed by Video-Assisted Thoracoscopy

Affiliations
  • 1Department of Internal Medicine, School of Medicine, Inha University, Incheon, Korea. jaehwa.cho@inha.ac.kr
  • 2Department of Thoracic Surgery, School of Medicine, Inha University, Incheon, Korea.
  • 3Department of Pathology, School of Medicine, Inha University, Incheon, Korea.
  • 4Department of Radiology, School of Medicine, Inha University, Incheon, Korea.

Abstract

We report a pulmonary infarction in 68-year-old man who was referred for an asymptomatic pulmonary nodule in chest radiography. Computed tomography (CT), positron emission tomography (PET), and transthoracic needle aspiration suggested suspicion for malignancy. Video-assisted thoracoscopic surgery (VATS) was performed for histologic diagnosis. Our case is a pulmonary nodule due to pulmonary infarction diagnosed by VATS in Korea.

Keyword

Solitary pulmonary nodule; pulmonary infarction; video-assist thoracoscopic surgery

MeSH Terms

Aged
Humans
Male
Pulmonary Infarction/*complications
Solitary Pulmonary Nodule/*etiology
Thoracic Surgery, Video-Assisted

Figure

  • Fig. 1 Chest CT scan revealed a broad pleural base, convex borders, and a low attenuation area within the density in right upper lobe of lung.

  • Fig. 2 PET-CT scan showed an abnormal hypermetabolic uptake in right upper lobe of lung.


Reference

1. He H, Stein MW, Zalta B, Haramati LB. Pulmonary infarction: spectrum of findings on multidetector helical CT. J Thorac Imaging. 2006. 21:1–7.
2. George CJ, Tazelaar HD, Swensen SJ, Ryu JH. Clinicoradiological features of pulmonary infarctions mimicking lung cancer. Mayo Clin Proc. 2004. 79:895–898.
Article
3. Tsunezuka Y, Hiranuma C, Sato H, Kurumaya H. Pseudotumor due to pulmonary infarction diagnosed by video-assisted thoracoscopic surgery. Ann Thorac Cardiovasc Surg. 1999. 5:402–404.
4. Jeong YJ, Yi CA, Lee KS. Solitary pulmonary nodules: detection, characterization, and guidance for further diagnostic workup and treatment. AJR Am J Roentgenol. 2007. 188:57–68.
Article
5. Tsao MS, Schraufnagel D, Wang NS. Pathogenesis of pulmonary infarction. Am J Med. 1982. 72:599–606.
Article
6. Balakrishnan J, Meziane MA, Siegelman SS, Fishman EK. Pulmonary infarction: CT appearance with pathologic correlation. J Comput Assist Tomogr. 1989. 13:941–945.
7. Kamel EM, McKee TA, Calcagni ML, Schmidt S, Markl S, Castaldo S, et al. Occult lung infarction may induce false interpre-tation of 18F-FDG PET in primary staging of pulmonary malig-nancies. Eur J Nucl Med Mol Imaging. 2005. 32:641–646.
Article
8. Kaminsky DA, Leiman G. False-positive sputum cytology in a case of pulmonary infarction. Respir Care. 2004. 49:186–188.
9. Scoggins WG, Smith RH, Frable WJ, O'Donohue WJ Jr. False-positive cytological diagnosis of lung carcinoma in patients with pulmonary infarcts. Ann Thorac Surg. 1977. 24:474–480.
Article
Full Text Links
  • YMJ
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr