Lung mass physical examination
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Lung Mass Microchapters |
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American Roentgen Ray Society Images of Lung mass physical examination |
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Risk calculators and risk factors for Lung mass physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]
Overview
Physical examination findings of lung mass will depend on the location of the tumor. Lung mass with central location may cause crackling sounds, focal wheezing, voice hoarseness, and tachypnea. Lung mass with peripheral location can present with pleurisy findings, such as reduced chest expansion. Common physical examination of patients with lung mass, include: crackling or bubbling noises, decreased/absent breath sounds, and whispered pectoriloquy.[1]
Physical Examination
- The following physical examination findings may be present among patients with lung masses:[1]
General appearance
- Well-appearing
- Older age in relation to chronological age
- Lethargic
- Confused
Vital Signs
- Low-grade fever
- Decreased SPO2
- Tachypnea
- Tachycardia
Chest
Inspection
- Performed in the anterior chest/posterior chest
- Hoarseness
- Rapid rate of breathing
Auscultation
- Present pleural friction rub
- Present egophony
- Crackling or bubbling noises
- Present whispered pectoriloquy
- Decreased/absent breath sounds
Percussion
- Hyporesonance
- Dull percussion
- Tactile fremitus
- Reduced chest expansion
Abdomen
Musculoskeletal
- Palpable soft-tissue mass
Skin
HEENT
CNS
- Slurred speech
- Confusion