Left-sided chest pain

Chief Complaint A 66 y/o male presented with the complaint of left-sided chest pain for the last 5 months. History No has history of prostate cancer, no other history of cough, breathlessness. Vitals BP: 120/80 mmhg, Respiratory rate: 17 breaths per minute, Pulse: 72 bpm, Temp: 98.8 degree F. Air entry was decreased in the left infraclavicular & suprascapular area on auscultation. Investigation All Blood tests are wnl. Chest X-ray shows homogeneous opacity & elevated diaphragm on the left side. CECT thorax shows heterogeneously enhancing soft tissue density mass in the left lobe. Treatment What do you say, what should be done now?

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Heterogeneous density mass is likely secondaries and elevated diaphragm likely pleural effusion As pt is kco CA prostate more likely a c/o metastasis But primary should also be r/o as likely morphology of lesion suggest Adv biopsy and tapping uf effusion is noted

Thanx dr Sandeep Ghodekar
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PROSTATE CANCER..WITH.. SECONDARIES IN LEFT LUNG .. CHEMOTHERAPY.. RADIOTHERAPY.. WITH.. ONCOLOGISTS OPINION..

Tnx Dr Shivraj Agarwal sir
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SECONDARIES and pleural effusion lung due to prostate cancer. Biopsy and tapping of pleural fluid and analysis can be conclusive. Chemoradiotherapy required.

Thanks Dr Kute Ankush
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Mass in left lobe of lung ? Etiology ? Malignant lesion Adv CT guided biopsy

Adv CT guided tru cut biopsy HPE. PET scan.

NEEDS CLINICAL CORRELATION AND COMBINE ...P E T...CT. SCAN

POSSIBLY METASTASES SECONDARY. TO CARCINOMA ....PROSTRATE NEEDS .BIOPSY AND RELEVANT. EVALUATION

chronic mass in the lung. to rule out CA . medical onco referal

PET CT SCAN combine test

Lung metastasis is rare in prostate cancer, which usually metastasises to the bone. So, CT guided biopsy is advised to rule out second malignancy. If it is NSCLC , EGFR, ALK, KRAS, BRAF and ROS 1 mutation testing should be done.

And also PET CT for staging if affordable, else bone scan and USG or CT abdomen and pelvis. Also PSA level
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