Presentation
Right-sided arm swelling.
Patient Data
Age: Adult
Gender: Male
From the case:
Superior vena cava obstruction
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/13273/annotated_viewer_json?_c=1673700609\u0026lang=us"}
Large invasive mediastinal mass that invades the superior vena cava resulting in venous obstruction. Prominent collaterals along the right side of the chest wall and base of neck.
The mass exerts severe narrowing of right pulmonary artery with no occlusion. It also obstructs right lower lobe bronchus with related consolidation.
Multiple subpleural lung masses are noted.
Moderate right and mild left pleural effusions.
Case Discussion
Superior vena cava obstruction by a pathologically proven small cell lung cancer resulting in SVC syndrome.