Pulmonary morning report

Patient in her 60s, former smoker 40py, with abnormal LDCT imaging. Some dyspnea but thought to be related to significant weight gain during pandemic.

Special shoutout to Dr. Agrawal’s Youtube channel and MIPs!

The case had a small endobronchial lesion on CT. We reviewed the differential for endobronchial lesions:

 

And focused on trahceobronchial tumors, which are rare, 0.6% of pulmonary tumors. (With a fun jeopardy matching series of slides, not captured in this post.)

DIPNECH – associated with bronchial carcinoid, consider in asthma patient with endobronchial abnormality.

Thanks for a great review and a fun interactive session, Dr. Rowe!

Timothy Rowe, MD, Pulmonary and Critical Care