http://www.appliedradiology.com RSS Feed on Applied Radiologyhttp://www.appliedradiology.com//Issues/1999/11/Cases/RCOM-Contiguous-extension-of-bronchogenic-carcinoma.aspxAn 80-year-old man pre-sented with a 3-week history of cough productive of blood-tinged sputum. Four years previously, a chest radiograph obtained preop-eratively for a transuretheral prostate resection showed a left hilar mass. The mass was presumed to be a bron-chogenic carcinoma based in part on its radiographic characteristics and the patient's 50-pack per year smoking history. However, he was not a candidate for surgery or chemotherapy due to severe chronic obstructive pulmonary dis-ease, with an FEV1 of 1.17 on pulmonary function test-ing. The 4-year follow-up chest radiographs disclosed progression in the size of the mass (figure 1). Since he was now symptomatic and might benefit from radiation ther-apy, a CT scan was per-formed (figures 2 and 3).Tuesday, 01 Feb 2005 13:47:46 GMT