Squamous Cell Carcinoma Coexisting in Rounded Atelectasis: Diagnostic Pitfalls
T. Nakazono1,
Y. Nakamura1,
T. Satoh2,
T. Sakuragi3,
Y. Sakao3 and
S. Kudo1
1 Department of Radiology, Saga Medical School, 5-1-1 Nabeshima, Saga City, Saga
849-8501, Japan.
2 Department of Pathology, Saga Medical School, Saga 849-8501, Japan.
3 Department of Cardiovascular and Thoracic Surgery, Saga Medical School, Saga
849-8501, Japan.

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Fig. 1A. 70-year-old man with squamous cell carcinoma coexisting in
rounded atelectasis. Contrast-enhanced CT scan (mediastinal window setting)
shows subpleural mass (arrows) in right lower lobe. Mass has distinct
margin and shows inhomogeneous enhancement. Focal pleural thickening
(arrowheads) is seen adjacent to mass.
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Fig. 1B. 70-year-old man with squamous cell carcinoma coexisting in
rounded atelectasis. CT scan (lung window setting) shows that bronchus and
pulmonary vessels (arrows) of right lower lobe are curved and
continue to mass, presenting comet-tail sign.
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Fig. 1C. 70-year-old man with squamous cell carcinoma coexisting in
rounded atelectasis. Photograph of macroscopic specimen shows thickening of
visceral pleura (large arrows) and whirllike collapsed lung
parenchyma (small arrows) compatible with rounded atelectasis.
Whitish tumor (arrowheads) is located in rounded atelectasis.
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Fig. 1D. 70-year-old man with squamous cell carcinoma coexisting in
rounded atelectasis. Photomicrograph of histopathologic specimen shows marked
fibrosis of visceral pleura and lung parenchyma (arrows) near tumor
nests (arrowheads). (H and E, x4)
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Copyright © 2004 by the American Roentgen Ray Society.