PMC10149411_01
A: Nodule 1, 2.3 cm left lower lobe. B: Nodule 2, 1.2 cm right lower lobe. C: Nodule 3, 1.4 cm left upper lobe.
gr1.jpg
PMC10149411_01_gr1.jpg
fig1
A 75-year-old patient with an active 50 pack year smoking history and COPD was initially referred for evaluation of an incidentally identified 2.3 cm left lower lobe lung nodule without mediastinal or hilar adenopathy (Fig. 1A). Interval growth was noted and given increasing concern for malignancy, a biopsy was attempted (Fig. 1B). Routine serial imaging was performed, and a new 1.4 cm left upper lobe nodule was identified approximately 39 months from the initial squamous cell carcinoma diagnosis (Fig. 1C).