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Pulmonary infarction mimicking a lung mass: a case report


Balakrishnan Jayakrishnan
Saif Musabah Al-Mubaihsi
Nisrien Elfatih Elhassan
Rashid Fuad Al-Sukaiti
Jojy George
Younis Said Al-Alawi
Adil Hashim Al-Kindi

Abstract

Pulmonary infarction usually appears as a wedge-shaped opacity with its base placed laterally. Rarely, pulmonary infarctions may appear as a well-defined rounded opacity mimicking lung cancer and surgical lung biopsy may often be required for definitive diagnosis. We report a patient who was admitted with submassive pulmonary embolism who had an incidental finding of a well-defined opacity in computed tomography (CT) scan. The lesion was avid on positron emission tomography (PET) scan and the patient was a smoker. So, we investigated him further with a percutaneous and later a thoracoscopic lung biopsy. Tumour-like pulmonary infarction is often a challenge for the clinicians.


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eISSN: 1937-8688