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What Does Underlying Endobronchial Lesion Such As Carcinoma On Chest X-ray Mean?
Had chest xray. Findings are possible infiltrate versus atelectasis appears to be present in the right middle lobe with some silhouetting o the right heart border. Underlying endobronchial lesion such as carcinoma cannot be excluded. What does that mean?
Thu, 16 Oct 2014
Thanks for your question on HCM. Whenever there is collapse of part of lung, chances of endobronchial obsruction is there.
This obstruction can be due to
1. Mass like lesion either malignant mass or polyp or nodule.
2. Thick , tenacious mucus pluggings.
So we have to rule out endobronchial pathology first.
And this can not be diagnosed on chest x ray. You need CT thorax with contrast and Bronchoscopic evaluation.
And if needed, bronchoscopic biopsy is also adviced for confirmation.
So you need further investigation to rule out cancer.
This obstruction can be due to
1. Mass like lesion either malignant mass or polyp or nodule.
2. Thick , tenacious mucus pluggings.
So we have to rule out endobronchial pathology first.
And this can not be diagnosed on chest x ray. You need CT thorax with contrast and Bronchoscopic evaluation.
And if needed, bronchoscopic biopsy is also adviced for confirmation.
So you need further investigation to rule out cancer.
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