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AJR Teaching File: Cavitated Mass with Hypertrophic Osteoarthropathy

Dean A. McNaughton1,2 and Ba D. Nguyen1

1 Department of Radiology, Mayo Clinic Scottsdale, 13400 E Shea Blvd., Scottsdale, AZ 85259.
2 Present address: Department of Radiology, The University of Iowa Hospitals and Clinics, Iowa City, IA 52242.


Figure 1
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  		Fig. 1A —62-year-old man with several-month history of coughing and right lung mass. Chest radiograph shows right upper lobe mass (arrow).

 

Figure 2
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  		Fig. 1B —62-year-old man with several-month history of coughing and right lung mass. Chest CT scan shows large cavitated mass with thickened walls in posterolateral aspect of right upper lobe (arrow).

 

Figure 3
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  		Fig. 1c —62-year-old man with several-month history of coughing and right lung mass. Whole-body bone scintigraphy with 99mTc MDP (methylene diphosphate) shows hypertrophic osteoarthropathy of lower extremities, predominantly on right side (arrows). No evidence of osseous metastasis is seen.

 

Figure 4
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  		Fig. 1D —62-year-old man with several-month history of coughing and right lung mass. PET volumetric images show abnormal FDG uptake in right lung lesion (arrow) but no evidence of locoregional or distant dissemination.

 

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