Chest Carcinoma bronchial

Radiological Report : XR Chest :

No previous images available for comparison. There is a mass at the left hilum with associated peripheral collapse. The right paratracheal region is bulky suggestive of adenopathy and there is blunting of the right costophrenic angle consistent with a small effusion. Appearances are highly suspicious of a primary bronchogenic carcinoma and further evaluation with a CT of the chest and upper abdomen is recommended.

Radiological Report : Thorax/ With Contrast :

There is a large, heterogenous, anterior mediastinal mass which measures at least 134 x 78 x 84mm. The mass is irregular in outline and appears to be invading into the extrapleural fat between the left 3rd and 4th, and 2nd and 3rd anterior ribs. No convincing bony destruction is identified. The mass also extends into the left supraclavicular fossa over a short distance, lateral to the left lobe of the thyroid, which is separate from the mass.

There is also probable lung parenchymal invasion on the left. There is compression of the left brachiocephalic vein which is occluded over a short distance. There is a filling defect within the distal left subclavian and axillary vein consistent with thrombus. The distal jugular vein is also compressed at the level of the thoracic inlet. No SVC compression is seen. The mass is intimately related to the anterior pericardium but no significant pericardial effusion is demonstrated. The left subclavian and common carotid artery are separate from the mass.

No significant cervical lymphadenopathy is seen, although part of the neck is obscured by artefact from the patient's dental amalgam. No separate pulmonary nodules are identified. Small left axillary nodes are noted, the largest of which measures 8mm. These are not considered enlarged. Separate small nodes are noted in the aorta-pulmonary window measuring up to 8mm.