Apical chest mass

Last revised by Daniel J Bell on 30 Aug 2022

Apical chest masses are often important and may be missed, especially when examined with a plain chest radiograph. It is always recommended to perform a targeted assessment of the apices of the lungs during a chest x-ray; they are one of the classic review areas.

Pathology

Etiology

Commonly an apical chest mass is a Pancoast tumor 1, however sometimes other lesions need to be considered in the differential diagnosis 2:

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