Radiopaedia Courses 25% Discount in response to COVID-19 ends on October 31 EXPLORE OUR COURSES

Pancoast tumor

Case contributed by Dr Henry Knipe

Presentation

Right sided pleuritic pain.

Patient Data

Age: 44
Gender: Female
X-ray

Irregular opacity in the left apex. Bony erosion of the lateral first rib. Multiple nodular opacities noted throughout both lungs.

Case Discussion

Irregular or spiculated opacities are always concerning for malignancy, the key in this case is the presence of bony erosion, which is indicative a more aggressive process. CT (not shown) confirmed left apical tumor (histology not available as patient transferred). 

PlayAdd to Share

Case information

rID: 32471
Published: 10th Dec 2014
Last edited: 11th Dec 2019
System: Chest
Inclusion in quiz mode: Included

Updating… Please wait.

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

 Thank you for updating your details.