Monday, February 23, 2015

From the East Coast to the West Coast

This patient actually had no pulmonary symptoms. These findings were incidentally discovered during a workup for shoulder pain. The pain radiates up the head and neck and down the medial scapula. The patient had seen multiple physicians who diagnosed her with cervical osteoarthritis and shoulder bursitis, but she never got relief with treatment. Ultimately, a chest X ray was performed which led to the CT above.

Challenge: What is the diagnosis?

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RaH said...

Pancoast tumor, NSCLC...

Anonymous said...

what is the answer.... we are waiting for it!

Craig Chen said...

yes, pancoast tumor. sorry for the delay, they need to automate comment replies for answers
From the East Coast to the West Coast

This is a Pancoast tumor, also known as a superior sulcus tumor. It can present with shoulder pain, Horner’s syndrome, and superior vena cava syndrome.

Sources: UpToDate, Wikipedia.