IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Pancoast tumor

Case contributed by Garth Kruger
Diagnosis almost certain

Presentation

A smoker presents with the history of intractable shoulder pain not responding to conservative therapy

Patient Data

Age: 55 years
Gender: Female
x-ray

Pancoast tumor with osseous destruction. 

Case Discussion

Pancoast tumor represents an apical lung malignancy, which may be identified on chest radiograph, AP shoulder or AP cervical spine films, either incidently or due to the symptomatology that was the indication for the film.  It is also one reason the lung apex is considered as a review area on all chest radiograph interpretations.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.