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Pulmonary carcinoid tumor – peripheral

Findings:
20 x 15 mm nodule in the right middle lobe medial segment with smooth, lobular contours, no cavitation and no calcification. A branch of the middle lobe lateral segmental bronchus terminates in the nodule. There is a second, smaller, lobulated nodule in the right middle lobe, measuring approximately 1 cm.
A few other punctate lung nodules noted, up to 3mm, in the right upper lobe, nonspecific.
Mild centrilobular and paraseptal emphysema and minimal atelectatic changes improved pulmonary bases. No pleural effusion.

A few, non-specific mediastinal lymph nodes are seen.

The heart, great vessels, trachea and oesophagus have a normal appearance.

Mild hepatic steatosis is seen. The upper abdominal solid organs and bowel have otherwise a normal appearance within the field of view.

Hemangioma is seen in the T10 vertebral body. There is mild, chronic wedging of lower thoracic vertebral bodies, with Schmorl’s nodes and disc space narrowing, consistent with Scheuermann’s disease. No suspicious bony lesions.

Conclusion:
Approximately 1.5 x 2 cm measuring right middle lobe lesion with a small satellite nodule in the right middle lobe medial segment, compatible with the histologically diagnosed pulmonary carcinoid. No metastases.

Updated on 4. May 2023

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About the author

Dr Sara Mohebbi is a Consultant Radiologist (Facharzt für Radiologie) with sub-specialty training in neuroradiology. She served as Chief Resident at University Hospital Freiburg and is a member of the European Society of Radiology (ESR). Her clinical focus includes demyelinating disease, neuro-oncology, and vascular neuroimaging. Dr Mohebbi is the Clinical Lead at Radiology Prime, where she provides independent second opinion reports on brain and spine MRI.