Findings, case of 37 y/o woman presented for a routine chest x-ray in preparation for laparotomy

Imaging Findings

Posteroanterior (PA) and lateral views of the chest demonstrate well-expanded lungs with no pleural effusion. There is a somewhat tortuous nodular opacity in the left lower lobe (arrows). Pulmonary vessels appear to extend to this area.

Axial images from an intravenous contrast-enhanced computed tomography (CT) examination demonstrate a tubular branching opacity in the left lower lobe (arrow). The opacity has no identifiable connection with the adjacent vascular structures. It does not extend to the hilum. The mass is surrounded by an area of extensive hyperlucent lung parenchyma (arrows). No other pulmonary masses are visible.

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