October 20, 1969

Cavitating Tumorous Lesion of Lung

Author Affiliations

From the weekly X-ray Seminar, Department of Radiology, Massachusetts General Hospital, Boston.

JAMA. 1969;210(3):503-504. doi:10.1001/jama.1969.03160290055012

Dr. David A. Kumpe: This 41-year-old woman, a housewife, had a brief illness characterized by pleuritic pain on the right side, malaise, low-grade fever, and a dry, nonproductive cough. Physical and laboratory findings were normal, and chest roentgenograms were made (Figure).

Discussion  Dr. Jack R. Dreyfuss: Dr. Weber, would you like to comment?Dr. Alfred L. Weber: The main roentgenographic finding is a hazy, ill-defined, cavitated infiltrate in the apical posterior segment of the upper lobe of the right lung (Figure). There is no pleural reaction. The hilum is not enlarged, and I detect no enlarged lymph nodes. I do not see any other lesions. The heart is not remarkable, and the trachea is normal. At this point there are several possibilities, such as tuberculosis, fungus disease, Wegener's granulomatosis, bacterial pneumonia. It does not look like tumor, although this cannot be excluded entirely.Dr. Kumpe: The patient was treated with