Wednesday, February 10, 2010


Clinical presentation:

Middle aged man, smoker, with weight loss and recent onset of cough.

The left lung is reduced in volume and its vessel-count is reduced. There is complex lobulated widening of the upper mediastinum with loss of the right para-tracheal stripe and a triangular density behind the heart on the left side. The basal artery and the hilar point have disappeared into this density and the descending aorta is not seen. The left hemidiaphragm is obscured. There is a soft tissue mass on the right side of the neck.

post your diagnosis in comments.

for more information review chest posts in the site:

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