{"ops":[{"insert":"A 70-year-old man is referred by his primary care physician, after a chest x-ray obtained last week showed a solitary pulmonary nodule. He has had sporadic mild hemoptysis for 2 months and a worsening cough for 1 year. \n \nHis medical and surgical histories are unremarkable. He is not on any medications currently. He stopped smoking 5 years ago, but had smoked a total of 50 pack years until then.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-192_en.png"}},{"insert":"\n"}]}
2
Investigate
Review chest x-ray
{"ops":[{"insert":"There is a homogenous ovoid nodule in the right upper lobe, ~2cm x 1cm in size. No other abnormalities are noted.\n"}]}
CT chest
{"ops":[{"insert":"Noncontrast films show a centrally located ovoid nodule in the right upper lobe, measuring 2 cm x 1 cm in size, with partly solid attenuation, and air bronchograms. Following the administration of intravenous (IV) contrast media, the nodule is seen to have lobulated margins. There is no evidence of vascular invasion or mediastinal lymphadenopathy.\n"}]}
