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Resolution
The x-ray shows a hilar lesion. The next step is to follow up with a CT scan.
Given the patient’s age and unilateral hilar enlargement, the most likely causes are vascular, infectious, bronchogenic cyst, non-Hodgkin’s lymphoma (Hodgkin’s is usually bilateral), or testicular cancer.
Acknowledgement: Case presented by Nahum Kovalski, BSc, MDCM, Terem Emergency Medical Centers, Jerusalem, Israel.
Clinical Challenge 2: May, 2011
Nahum Kovalski, BSc, MDCM
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