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Whispered pectoriloquy is a clinical test typically performed during a medical physical examination to evaluate for the presence of lung consolidation, causes of which include cancer (solid mass) and pneumonia (fluid mass).
Lung cancer is the most diagnosed and deadliest cancer worldwide, with 2.2 million cases in 2020 resulting in 1.8 million deaths. [3] Lung cancer is rare in those younger than 40; the average age at diagnosis is 70 years, and the average age at death 72. [2] Incidence and outcomes vary widely across the world, depending on patterns of tobacco use.
The 2021 U.S. Preventive Services Task Force guidelines recommend annual screening for lung cancer with low-dose computed tomography in adults aged 50 to 80 years who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years. [6]
Modern detail-oriented scans such as high-resolution computed tomography (HRCT) is the gold standard in respiratory medicine and thoracic surgery for investigating disorders of the lung parenchyma . Contrasted CT scans of the chest are usually used to confirm diagnosis of for lung cancer and abscesses , as well as to assess lymph node status at ...
A positive Pemberton's sign is indicative of superior vena cava syndrome (SVC), commonly the result of a mass in the mediastinum.Although the sign is most commonly described in patients with substernal goiters where the goiter "corks off" the thoracic inlet, [4] the maneuver is potentially useful in any patient with adenopathy, tumor, or fibrosis involving the mediastinum.
The ages of the patients in the trial varied from 55 to 74. When their initial findings were published in the New England Journal of Medicine, the researchers reported that low-dose CT scanning was associated with a 20% decrease in deaths from lung cancer, [5] [6] and that this effect was visible in both current smokers and former smokers. [7]