Limits...
Pancoast Tumor (poorly differentiated adenocarcinoma)

Ly JL - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Wilford Hall USAF Medical Center

ABSTRACT

Diagnosis: Pancoast Tumor (poorly differentiated adenocarcinoma)

History: 38-year-old longstanding female smoker presented with right upper extremity radicular symptoms.

Findings: Chest Radiograph-PA image from a two view study (lateral not shown) shows an irregular apical pleural thickening and a heterogeneous and predominantly lucent process at the right apex with 2nd and 3rd rib posterior rib destruction. Contrast-enhanced CT chest showed a lobular hypodense and minimally enhancing lesion arising from the region of the posterior right lung apex with extension into the adjacent posterior chest wall with extension to involve several levels of C-spine neuroforamina and likely involves the brachial plexus and intercostals nerves at that level.

Ddx: Mesothelioma Lymphoma Plasmacytoma Metastatic malignancies (thyroid, larynx) Lymphomatoid granulomatosis Cervical rib syndrome Tuberculosis Fungal infections

Dxhow: CT-guided biopsy

Exam: Noncontributory

No MeSH data available.


Axial contrast-enhanced chest CT showed a lobular hypodense and minimally enhancing lesion arising from the region of the posterior right lung apex with extension into the adjacent posterior chest wall with extension to involve several levels of C-spine neuroforamina and likely involves the brachial plexus and intercostals nerves at that level.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=MPX1738&req=5

MPX1738_synpic19950: Axial contrast-enhanced chest CT showed a lobular hypodense and minimally enhancing lesion arising from the region of the posterior right lung apex with extension into the adjacent posterior chest wall with extension to involve several levels of C-spine neuroforamina and likely involves the brachial plexus and intercostals nerves at that level.


Pancoast Tumor (poorly differentiated adenocarcinoma)

Ly JL - MedPix

Axial contrast-enhanced chest CT showed a lobular hypodense and minimally enhancing lesion arising from the region of the posterior right lung apex with extension into the adjacent posterior chest wall with extension to involve several levels of C-spine neuroforamina and likely involves the brachial plexus and intercostals nerves at that level.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1738&req=5

MPX1738_synpic19950: Axial contrast-enhanced chest CT showed a lobular hypodense and minimally enhancing lesion arising from the region of the posterior right lung apex with extension into the adjacent posterior chest wall with extension to involve several levels of C-spine neuroforamina and likely involves the brachial plexus and intercostals nerves at that level.

View Article: MedPix Image - MedPix Case

Affiliation: Wilford Hall USAF Medical Center

ABSTRACT

Diagnosis: Pancoast Tumor (poorly differentiated adenocarcinoma)

History: 38-year-old longstanding female smoker presented with right upper extremity radicular symptoms.

Findings: Chest Radiograph-PA image from a two view study (lateral not shown) shows an irregular apical pleural thickening and a heterogeneous and predominantly lucent process at the right apex with 2nd and 3rd rib posterior rib destruction. Contrast-enhanced CT chest showed a lobular hypodense and minimally enhancing lesion arising from the region of the posterior right lung apex with extension into the adjacent posterior chest wall with extension to involve several levels of C-spine neuroforamina and likely involves the brachial plexus and intercostals nerves at that level.

Ddx: Mesothelioma Lymphoma Plasmacytoma Metastatic malignancies (thyroid, larynx) Lymphomatoid granulomatosis Cervical rib syndrome Tuberculosis Fungal infections

Dxhow: CT-guided biopsy

Exam: Noncontributory

No MeSH data available.