40 pack year history of smoker. Chest pain and weight loss.
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Large left apical lung mass ( superior sulcus ) without bony destruction.
Right lung clear.
Pancoast tumour is a specific description for a tumour at the extreme lung apex, which when associated with Horners syndrome is termed Pancoasts syndrome. This relates to invasion of the brachial plexus from which its other name arises - superior sulcus tumour.
This case underwent subsequent CT imaging which identified metastatic lung cancer.