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Point-of-Care Lung Ultrasound in Adults: Image Acquisition
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A Phantom Opacity on Chest Radiograph.

Diana Pinho Dos Santos1, Marlene Delgado1, Adelino Carragoso1

  • 1Internal Medicine Service, Centro Hospitalar Tondela-Viseu, E.P.E., Portugal.

European Journal of Case Reports in Internal Medicine
|October 21, 2020
PubMed
Summary
This summary is machine-generated.

Phantom tumor of the lung, a pleural effusion in fissures, can mimic lung masses. Prompt recognition prevents misdiagnosis and unnecessary treatments.

Keywords:
Pleural effusionphantom tumour

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Area of Science:

  • Radiology
  • Pulmonology
  • Internal Medicine

Background:

  • A phantom tumor of the lung is a specific type of pleural effusion.
  • Fluid accumulation occurs within the interlobar fissures, most commonly the transverse fissure.
  • This condition can be mistaken for a primary lung mass or consolidation on radiographic imaging.

Purpose of the Study:

  • To present a case of phantom tumor of the lung.
  • To highlight the importance of recognizing this entity to avoid diagnostic and therapeutic errors.
  • To emphasize its role in differential diagnosis of lung opacities.

Main Methods:

  • Case report presentation.
  • Review of radiographic findings.
  • Correlation with clinical presentation and management.

Main Results:

  • The case illustrates fluid accumulation in the transverse fissure, mimicking a lung tumor.
  • The opacity resolved rapidly following treatment of the underlying condition (cardiac decompensation) with diuretics.
  • This rapid resolution confirmed the diagnosis of a phantom tumor.

Conclusions:

  • Phantom tumor of the lung is a crucial differential diagnosis for radiographic opacities.
  • Misdiagnosis as a lung mass or consolidation can lead to unnecessary investigations and treatments.
  • Prompt identification and management of the underlying cause are essential to avoid medical errors.