Phrenic nerve palsy and metastases

Case contributed by A.Prof Frank Gaillard

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. 

PlayAdd to Share

Case information

rID: 8543
Published: 10th Feb 2010
Last edited: 13th Aug 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.