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Emergency Medicine Journal 2008;25:605; doi:10.1136/emj.2006.045666
© 2008 BMJ Publishing Group Ltd and the College of Emergency Medicine.

IMAGES IN EMERGENCY MEDICINE

Phantom tumour of the lung

Z Zia, N Mohammed, R Paw

Emergency Department, Russells Hall Hospital, Dudley, UK

Correspondence to:
Dr Z Zia, Radiology Department, Nottingham City Hospital, Nottingham NGS IPB, UK; zerghamzia@gmail.com

Accepted 21 December 2006

The first 150 words of the full text of this article appear below.

Loculation of pleural effusion within an interlobular fissure as a result of congestive heart failure is termed a "phantom" or "vanishing" tumour. It is so called because of the characteristic radiological resemblance to a tumour of the lung but effective resolution with appropriate treatment. A 79-year-old patient who presented to the emergency department with this entity is described.

CASE REPORT

A 79-year-old man presented to the emergency department with increased shortness of breath associated with non-productive cough and weight loss of half a stone in one year. He had a past history of coronary artery bypass graft, congestive heart failure and he smoked 10–15 cigarettes per day. On examination the vital signs were stable with clinical evidence of heart failure. The chest x ray is shown in fig 1. A diagnosis of phantom tumour of the lung (loculated pleural effusion) with decompensated heart failure was made as a result of the . . . [Full text of this article]


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