Lung cancer with lymphangitis carcinomatosis and situs inversus


This is an "observational" case.  No complex pathology, but much to see.  

The distorted anatomy due to dextrocardia and a right sided aortic arch, as well as the "distractor factor" of a calcified breast implant and evidence of prior breast cancer, might draw one's attention away from the main finding - the large left paramediastinal lung cancer with lymphangitis carcinomatosis.