Female, found double lower limb edema in February, right chest pain January, please diagnose!

Respiratory"Basic Information"patients, female, 53-year-old"Main Complaint"found double lower limb edema in February, the right chest pain January"current medical history"patients 2 months ago without obvious causes of double lower limb edema, with heart palpitations symptoms, no obvious chest pain, shortness of breath, cough, cough, no fever in the local hospital 1 month ago the patient appeared right chest pain, located on the right chest back, is persistent blunt pain, and breathing relationship is not obvious, climbing the building slightly short of breath, intermittent dry cough, no cough sputum, cough ingress, cough obvious when lying, to my hospital outpatient examination chest tablets: right chest fluidSince the onset of the patient, nacho, the weight of the recent January weight decreased by 4KGimage)thetheof thethethethethethethethethethethethethetheof the?discussionComment: The upper tip of the right lung is a lump in the back of the tip, deep leaf, visible umbilical cord dent, thoracic depression and vascular clusterThe right chest cavity is fluid, with swollen lymph nodes in the vertical compartmentMay I ask all teachers, the tip of the back section of the lump has a burr sign? Diagnosing peripheral lung cancer? Results Cytopathological diagnosis: (thoracic water) has adenocarcinoma cells "case summary" surrounding lung cancer refers to lung cancer that occurs below the section of the trachea, thin bronchial CT diagnostic points 1, CT characteristics inside the tumor: (1) small bubble or small tube signs: irregular small dot slot or small strip low density shadow inside the tumor, less than 5mm in diameter, pathologically is the tumor buried in the gas-lung bubble or small bronchial projection, or cancerous tissue ischemic lesions caused by necrosis (2) eccentric thick wall hole and inner wall nodules, the original sign is a large rife lung cancer after necrosis liquefaction and branch tube discharge, leaving no liquid flat hole, the hole is more in the far heart side, the inner wall tumor nodule protruding into the cavity 2, tumor edge signs: (1) leaf-divide: tumor multi-directional growth uneven speed or adjacent bronchial, blood vessels block the growth of the tumor, so that its edges form uneven leaf-like changes, called leaf disease (2) Short burr: tumor spneainciant growth along the surrounding lung tissue and lead to reactive interstitial hyperplasia (3) pleural depression: near the cancerous swelling under the pleural membrane, due to tumor fiber tissue contraction, pull, so that the adjacent pleural tumor triangle depression 3, routine enhanced scan: significantly completely strengthened, due to the rich blood supply and contrast agent is full, if the cancer elastic fiber distribution is uneven, can also appear patchy uneven reinforcement 4, dynamic enhancement scan: lung cancer by the bronchial artery blood supply: slow rise and decrease reinforcement, CT value increased 30 to 60HU source: the image
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