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Roentgenogram of the Month |

Respiratory Distress Following Pneumonectomy*

Subrato Deb, MD; Peter Fonseca, MD, PhD, FCCP
Author and Funding Information

*From the Departments of Surgery (Dr. Deb) and Cardiothoracic Surgery (Dr. Fonseca), National Naval Medical Center, Bethesda, MD.

Correspondence to: Peter Fonseca, MD, PhD, FCCP, 505 Couch Ave, Suite 250, St. Louis, MO 63122



Chest. 1999;116(5):1461-1463. doi:10.1378/chest.116.5.1461
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Extract

A 60 -year-old man was referred to the thoracic surgery service with a large mass in the right upper lobe of his lung. He had a 4-week history of productive cough and hemoptysis. A chest radiograph was obtained after antibiotic therapy failed to resolve the symptoms. He had no history of weight loss, fevers, or chest pain. He had smoked until 2 years prior and had an 80 pack-year history of cigarette use. A physical examination revealed no bone pain or lymphadenopathy. A CT scan of the chest demonstrated a 9-cm solid mass in the right upper lobe closely adherent to the right hilum. Bronchoscopy with brush biopsy of the mass revealed non-small cell cancer that was confirmed with bronchial washings. A CT scan of the head was negative for metastatic disease.

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