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Old 10-22-2011
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Default 73 yr old with metastatic small cell lung CA

A 73 yr old woman comes to the physician for a follow up examination. Six months ago, she was diagnosed with metastatic small cell lung CA but declinded treatment. P/E today shows no cardiopulmonary abnormalities. A CXR shows widening of the angle between the right and lt main stem bronchus, with the orientation of the right main stem bronchus being more horizontal. The primary lesion has not increased in size. Which of the following best explains the current CXR findings in this pt?

A. Dilated rt atrial appendage
B. enlarging subcarinal lymph node
C. lt perihilar lymphadenopathy
D. malignant pleural effusion
E. volume loss of the lt upper lobe of the lung
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Old 10-22-2011
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I guess C......
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Old 10-22-2011
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B. Subcarinal lymph nodes
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Old 10-22-2011
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Quote:
Originally Posted by USMLE2011m View Post
B. Subcarinal lymph nodes
I agree with B.
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Old 10-22-2011
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Its E. . .. .obstruction of airway leads to loss of volume of lung
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Old 10-22-2011
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it is from NBME, do not remember from which one and answer is B.enlarge of subcarinal lymph node.
Anywho is going to take this set of NBME harms himself...


BE CAREFUL.....
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