[Solved]: Case Studies: Lung Lung Case 1 History/Chief…

Case Studies: Lung Lung Case 1 History/Chief Complaint: • 87-year-old male with coronary artery disease, SOB and chest tightness. Physical Exam: • SOB, cough, no hemoptysis Imaging: • 3/6: CT chest – large right infrahilar mass with 4.2cm right lower lobe mass, occluding right lower lobe bronchus and narrowing of pulmonary veins, right mediastinal adenopathy, right pleural effusion associated with the large mass, two smaller lesions left lung at level of hilum. • 3/12: Bone scan – degenerative disease, chronic trauma • 3/12: MRI of brain – no evidence of metastatic disease Procedure: • 3/18: Core biopsy right mediastinal lymph node Operative Report: • No surgical procedure performed, mediastinal lymph node biopsy Pathology Report: • 3/18: Small cell carcinoma, right mediastinal lymph node core biopsy Case Study Answers: Primary Site Code and Text: Histology Code and Text: AJCC Clinical T N M and Stage Group: AJCC Pathological T N M and Stage Group: Summary Stage: Operative Code with Supporting Text