Chest x-ray shows a lesion in the upper lobe of his right lung. Because the patient continues to have hemoptysis, surgical resection of the lung lesion is done. The resected lesion is as shown in the picture. He also has a 20-lb weight loss. Chest x-ray shows a mass in the left upper lobe.
Lobectomy is done showing a tumor mass with gross features illustrated in the pictures.
Adrenal metastasis is frequent. It is associated with exudative pleural effusion. It is slow growing and has a good prognosis. Smoking increases significantly the risk of developing this tumor. All are true.