Advanced, metastatic lung cancer with likely distant adrenal metastases, pleural involvement and right chest wall invasion. Likely T4,N2,M1b. 

MICROSCOPIC DESCRIPTION: The smears contain scattered malignant cells occurring singly, in groups and occasional large loose clusters, in a background of scattered degenerate malignant cells, pulmonary macrophages, acute inflammatory cells and acellular debris. The malignant cells are large with a pleomorphic hypochromatic chromatin pattern, prominent nucloli and abundant foamy cytoplasm.

DIAGNOSIS: Sputum: Undifferentiated large cell carcinoma.