Pleural Fluid in an 89 Year Old Male
Andrew Schreiner, MD and Susan Alperstein, CT(ASCP)
Presentation Date: July 1, 2014; Expires: July 1, 2017
The patient is an 89-year-old man with a remote history of light smoking who presented with painless jaundice. Imaging showed a common bile duct stricture that was radiographically concerning for cholangiocarcinoma. A biliary stent was placed, and biliary brushings were cytologically suspicious for adenocarcinoma. Follow-up CT scan showed left pleural-based masses. The differential diagnosis included metastatic cholangiocarcinoma. CT-guided FNA of a pleural-based mass was now performed.