Unilateral hilar enlargement - Lung cancer
- Learning to assess the hilar structures is difficult
- Normal hilar structures are asymmetric in shape but are usually similar in size and density
- Discrepancy in size or density of the left and right hila may indicate a pathological process
- In this image the left hilum is too big and too dense (white) and the normal pulmonary vessels are difficult to delineate
- Following bronchoscopy and tissue biopsy this mass was found to be a primary bronchogenic cancer