Small cell lung cancer with left main pulmonary arterial thrombosis
55 years old patient with recent weight loss , cough and dyspnea.
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Well-defined enhanced central left lung mass is seen with mediastinal invasion. Mass encases left main bronchus, left upper bronchus and also left main pulmonary artery. Filling defect is noted in the encased artery favoring a complicating thrombosis. Multiple low attenuation enlarged mediastinal lymphadenopathy.
The findings are consistent with lung cancer with mediastinal invasion and thrombotic left main pulmonary artery.
(Histology : small cell lung carcinoma )