All that glitters is not gold

J Pak Med Assoc. 2019 Aug;69(8):1226.

Abstract

Solitary pulmonary nodules (SPN) are a diagnostic dilemma with a long list of differential diagnosis which extends to include both horizons i.e., benign as well as malignant conditions. Fortunately, there are some factors which favour benign over malignant; one such factor is presence of fat.1 We present here a case of a 40 years old male who underwent x-ray due to haemoptysis and cough which demonstrated a coin lesion; subsequently, PET-CT scan was requested for characterization of the lesion and concurrent staging which revealed mildly avid fat containing lesion in right lung diagnostic of pulmonary hamartoma.

Keywords: Pulmonary hamartoma, Coin lesion, PET-CT, Solitary pulmonary nodule..

Publication types

  • Case Reports

MeSH terms

  • Adipose Tissue / diagnostic imaging*
  • Adult
  • Fluorodeoxyglucose F18
  • Hamartoma / diagnostic imaging*
  • Humans
  • Lung Diseases / diagnostic imaging*
  • Male
  • Positron Emission Tomography Computed Tomography
  • Radiography, Thoracic
  • Radiopharmaceuticals
  • Solitary Pulmonary Nodule / diagnostic imaging*

Substances

  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18