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Thoracic lymphadenopathy - breast cancer (chest x-ray)

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Increasing SOB ?infection.

Patient Data

Age: 40 years
Gender: Female

No focal consolidation, collapse or pneumothorax. No large pleural effusion. Widened right paratracheal stripe, loss of normal AP window contour and left hilar mass, most in keeping with lymphadenopathy. Right sided brachial port with tip projecting at the cavo-atrial junction. 

CT confirms right paratracheal and AP window lymphadenopathy. 

Case Discussion

The patient has a known history of breast cancer and this lymphadenopathy represents metastatic disease. 

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