Pancoast tumor
Updates to Case Attributes
Large Large enhanced soft tissue mass centred in apex of left lung, infiltrating dorsal vertebral bodies, adjacent ribs, likely neoplastic lesion, suggestive Pancoast tumour/ superior sulcus tumour.
and pathologicallyPathologically proved as bronchogenic adenocarcinoma.
-<p> Large enhanced soft tissue mass centred in apex of left lung, infiltrating dorsal vertebral bodies, adjacent ribs, likely neoplastic lesion, suggestive Pancoast tumour/ superior sulcus tumour.</p><p>and pathologically proved as bronchogenic adenocarcinoma.</p>- +<p> Large enhanced soft tissue mass centred in apex of left lung, infiltrating dorsal vertebral bodies, adjacent ribs, likely neoplastic lesion, suggestive Pancoast tumour/ superior sulcus tumour.</p><p>Pathologically proved bronchogenic adenocarcinoma.</p>
Updates to Study Attributes
LargeA large soft tissue mass is seen centered in the apex of the left lung. It, appears isointense inon T1WI and hyperintense in T2Wimageson T2WI, with small hyperintense cystic degeneration, ; it shows enhancement in t1_vibe post contrast,.
It invadeIt invades fat above apical pleura, invade and the left posterior chest wall, extendextends from C7 vertebral body level down to D3 level, invading these vertebral bodies medially, obliterating their left neural foramina with adjacent ribs destruction, encasing the brachial plexus on left side, extend extends to posterior elements, left paraspinal muscles.
- ObliterationObliteration of the spinal canal and compressing spinal cord and causes secondary spinal canal stenosis mainly at D2 level
- Loss of height of D2 vertebral body, retropulsion into the spinal canal, with hyperintensity t2 signal intensity, likely pathological fracture.
Lesser degree anterior wedging of D1 vertebral body.
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