A 53 year old lady came to me with h/o repeated thoracocentesis (5 times) in the past 3 months. She initially presented with persistent cough with dyspnoea to private practitioner who found right sided pleural effusion and ordered pleural fluid tapping.The pleural fluid showed presence of malignant cells.The report also excluded evidence of TB in it. A CeCt throax showed right lower lobe collapse and an irregular sol 3 x 5 cms. along with pleual thickening. FNAC done showed presence of poorly differentiated carcinoma and on core cut biopsy it was NSCLC (favouring adenoca) (IHC still pending).
A PET CT done outside showed the presence of FDG avid lung lesions and pleural nodule and presence of a Thyroid Incidentaloma of the left lobe with SUV of 6. There was no other site of metastasis on PET CT. An FNAC from the thyroid sol revealed papillary Thyroid Carcinoma. On G/E patient had PS…
