Presentation
Left sided chest pain with shortness of breath (anginal episode). CXR to exclude other thoracic causes of presentation. Non-smoker.
Patient Data
1.5 cm density projected between the aortic arch and head of left first rib.
The lungs are otherwise clear, with normal mediastinal contour and vascularity.
2.5 cm left upper lobe tumor (consistent with CXR findings), contiguous with the mediastinum but not frankly invading. Otherwise normal lungs with no other significant nodules, nor hilar/mediastinal nodal enlargement. No effusion. Simple left renal cyst, otherwise normal included upper abdomen and skeleton.
Moderate uptake in left upper lobe tumor.
No nodal or distant non-physiological uptake.
Case Discussion
This tumor was staged as T2N0M0 and, after optimization of cardiovascular issues, was resected. Pathology confirmed adenocarcinoma.
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