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| Primary Site | Right upper lobe, lung. | |
| Physical Exam | 10/12/XX |
Lungs: Decreased breath sounds and wheezes on right |
| X-Rays & Scans | 10/12/XX |
Chest X-ray: Large right pleural effusion with complete opacification of lower lobe of the right lung. 4 to 5 cm mass in R upper lobe, probable malignant neoplasm. |
| 08/23/XX | Chest X-ray: Mass effect in R suprahilar area. Ill-defined infiltrate, right lower lung field. | |
| 10/15/XX | CT chest: Large suprahilar mass = 5.0 x 4 x 3 cm on right with some calcifications. Obvious carcinoma in 2 enlarged mediastinal LNs, 1 of which is greater than 2 cm in diameter. | |
| Scopes | 11/01/XX | Bronchoscopy: Right lower lobe appeared edematous; large friable adenocarcinoma in R upper lobe. |
| Laboratory | 10/15/XX |
Alk phos: 102 (normal 69 -241). |
| Operative Findings | None |
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| Pathological Reports | 11/01/XX
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Cytology: Undiff adenocarcinoma in pleural fluid, three specimens. |
| 11/01/XX | Bronchoscopic biopsy: Small fragment of R upper lobe with necrosis and anaplastic adenoca. | |
| Treatment | 11/11/XX | Chemotherapy: began cisplatin and Velban (vinblastine). |
