Update on lung mass

This is the 54 y/o man with >85p/y of TOB and the PET+ lung mass. We felt that with his pre-test likelihood of malignancy, surgery was his best option. He underwent a LULobectomy with partial resection of ribs as the mass was adherent to them (no bone involvement on the PET-CT) and the frozen was "consistent" with adenoCa. The final path was a granulomatous inflammatory mass with fungal agents consistent with blasto and no cancer.