A woman in her 8th decade of life presented with a history of lentigo maligna and breast cancer. During a staging workup for her breast cancer, a dominant hypermetabolic nodule was identified by PET/CT in the right upper lobe of the lung, 2.7 x 1.8 cm. These findings were consistent with a malignancy. A subsequent PA & lateral chest radiograph demonstrated a 4.7 cm right upper lobe mass consistent with the findings on PET/CT. No mediastinal or hilar lymphadenopathy was identified.
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The patient was scheduled for a right thoracotomy and bronchoscopy.