Hiren J. Mehta, MD, Tan-Lucien Mohammed, MD, Michael A. Jantz, MD

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The American College of Radiology Lung Imaging Reporting and Data System Hiren J. Mehta, MD, Tan-Lucien Mohammed, MD, Michael A. Jantz, MD CHEST Volume 151, Issue 3, Pages 539-543 (March 2017) DOI: 10.1016/j.chest.2016.07.028 Copyright © 2016 American College of Chest Physicians Terms and Conditions

Figure 1 A, Lung cancer screening CT scan showing enlarged paratracheal lymph nodes. No lung nodules are present. B, Chest CT scan when patient presented 6 months later with pneumonia. Large right hilar mass is evident. Biopsy results confirmed large-cell lung cancer. CHEST 2017 151, 539-543DOI: (10.1016/j.chest.2016.07.028) Copyright © 2016 American College of Chest Physicians Terms and Conditions

Figure 2 Chest CT scan shows subcarinal adenopathy; no lung nodules were seen. This was picked up by the patient’s pulmonologist and biopsy showed primary lung adenocarcinoma. CHEST 2017 151, 539-543DOI: (10.1016/j.chest.2016.07.028) Copyright © 2016 American College of Chest Physicians Terms and Conditions

Figure 3 A, Small left pleural effusion noted on initial screening scan. No nodules were seen. B, Lung cancer screening a year later showed moderate left effusion, which on thoracentesis revealed primary adenocarcinoma of the lung. CHEST 2017 151, 539-543DOI: (10.1016/j.chest.2016.07.028) Copyright © 2016 American College of Chest Physicians Terms and Conditions