Question 1097
{"accessible":true,"alternatives":[{"id":5482,"text":"aortic coarctation"},{"id":5483,"text":"cystic fibrosis"},{"id":5484,"text":"lung cancer"},{"id":5485,"text":"pectus excavatum "}],"archived":false,"correctAlternativeId":5484,"explanation":"\u003cp\u003eThere is a soft-tissue mass within the left lung apex. This proved to be a superior sulcus squamous cell carcinoma of the lung\u0026nbsp;(\u003ca href=\"/articles/pancoast-tumour\"\u003ePancoast tumor\u003c/a\u003e). The apex is an important check area on frontal chest radiographs. The aortic outline is normal with no\u0026nbsp;\u003ca href=\"/articles/figure-3-sign\"\u003efigure 3 sign\u003c/a\u003e or \u003ca href=\"/articles/rib-notching\"\u003einferior rib notching\u003c/a\u003e to suggest \u003ca href=\"/articles/coarctation-of-the-aorta\"\u003eaortic coarctation\u003c/a\u003e. The brochovascular markings appear normal with no \u003ca href=\"/articles/bronchiectasis\" title=\"Bronchiectasis\"\u003ebronchiectasis\u003c/a\u003e to suggest \u003ca href=\"/articles/cystic-fibrosis\"\u003ecystic fibrosis\u003c/a\u003e. The right heart border is well seen and the orientation of the ribs is normal, which excludes \u003ca href=\"/articles/pectus-excavatum\"\u003epectus excavatum\u003c/a\u003e.\u003c/p\u003e\u003cp\u003e\u003cstrong\u003eFrom:\u003c/strong\u003e\u0026nbsp;\u003ca href=\"https://radiopaedia.org/courses/radiology-review-course-online\"\u003eRadiology Review Course - Online\u003c/a\u003e\u003c/p\u003e","id":1097,"imageUrl":"https://prod-images-static.radiopaedia.org/multiple_choice_questions/690/pancoast-tumour-3_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":13977},"imageAttributionCaseInfo":{"title":"Pancoast tumor","contributor_name":"Frank Gaillard","contributor_param":"frank","case_rid":13977,"case_param":"pancoast-tumour-3"},"firstQuestionPath":"/questions/2615","nextQuestionPath":"/articles/lung-cancer-3/questions/1031","relatedArticles":[{"id":1188,"title":"Cystic fibrosis","link":"/articles/cystic-fibrosis?lang=us"},{"id":6277,"title":"Coarctation of the aorta","link":"/articles/coarctation-of-the-aorta?lang=us"},{"id":1853,"title":"Pectus excavatum","link":"/articles/pectus-excavatum?lang=us"}],"alsoUsedIn":[{"id":234,"kind":"Course","title":"Radiology Review Course - Melbourne - page 234","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2019/pages/234"},{"id":234,"kind":"Course","title":"Radiology Review Course - Melbourne - page 234","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2018/pages/234"},{"id":234,"kind":"Course","title":"Radiology Review Course - Melbourne - page 234","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2020/pages/234"},{"id":234,"kind":"Course","title":"Radiology Review Course - page 234","link":"https://radiopaedia.org/courses/radiology-review-course-online/pages/234"}],"stem":"\u003cp\u003eWhich diagnosis should be suspected from this chest x-ray?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1097"}],"attemptsPercentages":[{"alternativeId":"5484","percentage":33},{"alternativeId":"5482","percentage":22},{"alternativeId":"5485","percentage":17},{"alternativeId":"5483","percentage":28}],"promptToLogin":false,"questionManager":false,"articleId":"lung-cancer"}