Evidence map›Paper›PMID 40827171›Full record

ArticleCureus2025

Incidental Findings in Clinical Practice: A Case of Hepatic Encephalopathy and Subsequent Lung Cancer Detection.

Evan J Ernest, Peter Shih

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Evan J ErnestInternal Medicine, Edward Via College of Osteopathic Medicine, Auburn, USA.
Peter ShihPulmonary and Critical Care Medicine, HCA Florida Fort Walton-Destin Hospital, Fort Walton Beach, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Altered mental status (AMS) poses a challenge for healthcare providers due to its extensive differential diagnosis. A 67-year-old female patient with a complex medical history was admitted to the hospital due to AMS stemming from hepatic encephalopathy. During her evaluation, a routine chest X-ray revealed a right upper lobe pulmonary nodule, which was subsequently diagnosed as non-small cell lung cancer following further imaging and biopsy. This case emphasizes the importance of comprehensive assessments of incidental findings. The unanticipated identification of lung cancer in this instance underscores the critical role of early detection and a holistic diagnostic strategy, especially in populations at heightened risk, to inform effective management and enhance patient outcomes.

Indexed as

alcoholic liver cirrhosisaltered mental stateendobronchial ultrasound (ebus)hepatic encephalopathyincidental radiological findingnon-small cell lung carcinoma (nsclc)robotic bronchoscopy

Identifiers

PMID40827171
PMCPMC12358167

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.