Phrenic nerve palsy and metastases

Case contributed by A.Prof Frank Gaillard
X-ray

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Case Discussion

Phrenic nerve palsy and apical pulmonary metastases from colorectal carcinoma.

Chest x-ray demonstrates a soft tissue mass at the apex of the right lung, abutting the mediastinum medially. This is associated with marked elevation of the right hemidiaphragm, with no evidence of mediastinal shift of pleural fluid. 

CT confirms the presence of the apical mass which is invading the mediastinum, and presumably involving the phrenic nerve resulting in a phrenic nerve palsy. 

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Case information

rID: 8543
Case created: 10th Feb 2010
Last edited: 24th Nov 2015
System: Cardiac
Inclusion in quiz mode: Included

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