Lung mass physical examination
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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 findings of patients with lung mass include crackling or bubbling noises, decreased/absent breath sounds, and positive findings on whispered pectoriloquy.
Physical Examination
Physical examination findings of patients with lung mass are given below:[1]
Appearance of the Patient
Vital Signs
- Low-grade fever
- Decreased peripheral capillary oxygen saturation (SpO2)
- Tachypnea
- Tachycardia
Skin
HEENT
Neck
Lungs
Inspection
Auscultation
- Pleural friction rub
- Egophony
- Crackling or bubbling noises
- Positive whispered pectoriloquy
- Decreased/absent breath sounds
Percussion
- Hyporesonance
- Dull percussion
- Tactile fremitus
- Reduced chest expansion
Heart
Abdomen
Back
- Back examination of patients with lung mass is usually normal.
Genitourinary
- Genitourinary examination of patients with lung mass is usually normal.
Neuromuscular
Extremities
- Clubbing of fingers
- Swelling of hands and feet
- Weakness
- Palpable soft-tissue mass