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An 88-year-old man presented with coughing up blood and was diagnosed with Stage III squamous cell lung cancer. Imaging showed a 64-mm tumor in the right lower lobe with right hilar and mediastinal lymph-node involvement.
He received radical chemoradiotherapy with weekly carboplatin. About a month into treatment, he developed a cough before chest radiography showed a new lesion. By day 60, he had a fever and imaging showed bilateral ground-glass changes confined to the previously irradiated region. He was diagnosed with radiation pneumonitis.
Prednisolone was started and the lung changes improved. Serial breath-sound monitoring had shown a marked rise in fine crackles before the pneumonitis was diagnosed, followed by a decline after steroid treatment began.
This is a lay summary of an account first published by PMC / PubMed Central. Read the original in full
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These are lay summaries of published cancer stories, for information only. No two cancers behave the same way, and nothing here predicts your own diagnosis or replaces advice from your oncology team. Read the full disclaimer