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A female in her 50s presents with a few month history of a cough and has a chest X-Ray. What does it show? ———————— LUNG CANCER AND ENLARGED HILAR NODES 👨🏽💻The key to this case is assessing the hilar regions in detail 👨🏽💻The density of the right hilum is abnormal when compared with the left whilst the morphology also does not resemble branching tapering vessels as you would expect 👨🏽💻The second abnormality is an extra contour next to the right hilum. Given this is separate to the hilum this must lie anterior or posterior to the hilum 👨🏽💻Infective consolidation with enlarged nodes is possible but given the lesion is very well defined lung cancer with enlarged nodes at the hilum must be considered 👨🏽💻This was confirmed on CT, PET-CT and CT biopsy 👨🏽💻The key here is to be able to piece apart the hilar regions - remember to assess the density and morphology and look for anything overlying them FIND THIS USEFUL? SUBSCRIBE FOR THE WHOLE SERIES OF CASE EXPLANATIONS 🔻@theradiologistpage ———- ✅Patient consent obtained #theradiologist #radiology #radiologist #physician #physicianassistant #medicine #medstudent #medicalstudent #medschool #medicalschool #radtech #xray #medical #chestxray #doctor #medicalstudents #frcr