A 60-year-old chronic smoker presents with weight loss, cough and hemoptysis. A chest radiograph was obtained and revealed this appearance. The patient developed over the next few days a gradually progressive left upper limb pain, paraesthesia and weakness. He also developed left sided Horner's syndrome. Most likely diagnosis is:
Ans. C Pancoast tumourYou can see a left apical mass (radio opacity) causing gross destruction of overlying ribs and soft tissues - suggests Pancoast tumourQ. Most commonly - Squamous cell carcinomaQ. MRI is IOCQ.
Fungal ball
Pulmonary hydatid cyst
Pancoast tumour
Hamartoma
Respiratory System