All are been in Pancoast syndrome except
Pancoast tumour invades brachial plexus,sympathetic chain,upper ribs,and veebrae.Dyspnoea can occur due to loss of functioning lung tissue/the development of a large pleural effusion.Clubbing and hyperophic pulmonary osteoahropathy can also occur. Bailey & Love's sho practise of surgery,25 th edition,page no:885
Brachial plexus involvement
Dyspnoea
Clubbing
Myasthenia gravis
Cardio thoracic surgery  