Background

67 years old. K/c/o hypertension and hypothyroidism. Presented with complaints of cough since 2 months, shortness of breath since 1 month and significant loss of weight.

Diagnosis And Treatment

CT chest showed a right parahilar mass with extrinsic compression of the right main bronchus and enlarged right paratracheal and subcarinal lymph nodes. EBUS TBNA was done from both the nodes. ROSE was suggestive of poorly differentiated carcinoma. Final diagnosis of poorly differentiated Adenocarcinoma was made from the cell block.

CT scans showing mediastinal adinopathy

Endobronchial Ultrasoundimage of mediastinal node

About Author –

Dr. V Nagarjuna Maturu, Consultant Pulmonology, Yashoda Hospital, Hyderabad. 
MD, DM (Pulmonology)

His special interest lies in Bronchoscopy and Endobronchial Ultrasonography (EBUS), Medical thoracoscopy, Sleep Medicine, Rigid bronchoscopy and Therapeutic bronchoscopic procedures.