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Lung India Official publication of Indian Chest Society  
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Year : 1990  |  Volume : 8  |  Issue : 3  |  Page : 137-141

Appearance Of Chest Skiagrams In Primary Liver Carcinoma



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Pranesh Nigam


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Chest Skiagrams of 50 patients of primary liver carcinoma (32 males, 18 females, mean age 45.2+6.8 years) revealed appreciable changes in 45 cases (90%). Thirty six cut of 45 (80%) patients revealed elevation of the diaphragm and in 28 of them it was associated with ascites. The ‘humping’ of right hemidiaphragm was seen in five patients. The left hemidiaphragm was raised in two patients of whom one had ascites and other appreciable hepatomegaly. The changes in the lung fields mainly consisted of right basal parallel lines in 27 patients and obliteration of right cardiophrenic angle. Pulmonary deposits were mainly over the both lung fields as small, multiple rounded shadows without clear cut edges in 19 patients while single large (3-5cms) round deposit in two patients showed clear edges, pleural effusion, an uncommon finding, was seen in two patients whose pleural aspirates revealed undifferentiated large tumor cells (malignant cells) and red blood cells.


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