Abstract
Incidental findings on chest X-ray of oncological patients need further evaluation in contrast-enhanced computed tomography (CT). We report two cases of abnormal shadows, detected on radiograph, in patients with breast cancer: the first one projected under the left hemidiaphragm and the second one obscuring the right hemidiaphragm. Both patients were asymptomatic, subjected to a surgery and to a CT. The first scan revealed a 15 mm diameter nodule in left lung with smooth margins and central calcifications. Whereas, the second exam showed a subcapsular, ring, calcified lesion in the liver. In both cases, CT was essential for staging and therapeutic choice.
Highlights
Incidental abnormalities on chest X-ray in oncological patients require a further investigation in computed tomography (CT)
The location was interpreted by the radiologist as the gastric bubble, to differentiate with the left lower lobe
(Figure 1b), revealed a round, well-defined, 15 mm diameter nodule in the basal and posterior portion of the 10th left lung segment with central, amorphous calcifications
Summary
Incidental abnormalities on chest X-ray in oncological patients require a further investigation in computed tomography (CT). The aim of the article is to present, based on two examples, surprising locations of pathologies, primarily detected as abnormal shadows on plain radiograph
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