Bronchogenic carcinoma with L1 vertebra metastasis

Case contributed by Natalie Yang
Diagnosis almost certain

Chest x-ray demonstrates ill-definition and bulkiness of the left hilum with what appears to be mass projecting lateral to the aortic arch. 

CT confirms the presence of a mass which narrows the upper lobe bronchus and extends medially below the arch of the aorta. It appears to be continuous with a number of enlarged nodes which are matted together. 

Case Discussion

Features are consistent with a bronchogenic carcinoma. Incidental note is made of an L1 metastasis.

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