Mass below diaphragm
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Mass below diaphragm
- A systematic review of this X-ray shows a nodule (small mass) in the right lower zone, obscured by the soft tissues of the upper abdomen
- Don’t forget that the lung passes below the level of the dome-shaped diaphragm
Mass below diaphragm (detail)
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Mass below diaphragm (detail)
- A closer look at the area shows it is a spiculated and cavitating lesion
- The dotted line indicates the level of the CT image - see below
- This case demonstrates the importance of a systematic approach to viewing chest X-rays - read the 'Chest X-ray Systematic Approach' tutorial
Mass below diaphragm
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Mass below diaphragm
- The CT shows the nodule behind the dome of the diaphragm
- It has a spiculated edge, it contains a cavity, and it makes contact with the pleural surface