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Back pain at T4/T5. Reduced sensation T5 down.
7 cm right upper lobe soft tissue mass infiltrating the right posterior chest wall and the paravertebral region. Soft tissue is infiltrating the right T2/3 foramen and encroaching into the spinal canal with associated canal stenosis, CSF effacement, and canal compression.
Associated infiltration of the T2 and T3 vertebral bodies and adjacent ribs.
Multiple enhancing lesions in the right cerebellar hemisphere in keeping with metastases.
Left supraclavicular fossa and right hilar adenopathy.