Presentation
Right sided pleuritic pain.
Patient Data
Age: 44
Gender: Female
From the case:
Pancoast tumor
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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).
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