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Welcome to the Academic and Educational pages of the
Department of Radiology
Seth G.S. Medical College and K.E.M. Hospital, Mumbai , India
Case of the Day
Case of the Day
An 18 year old girl presented with cough and expectoration since one month.
An 18 year old girl presented with cough and expectoration since one month.
She had been diagnosed with pulmonary tuberculosis five months back.
She had been diagnosed with pulmonary tuberculosis five months back.
The frontal chest radiograph shows two to three nodular soft tissue opacities in the left mid zone and lower zone. The rest of the left lung is hyperinflated. There is a moderate sized pleural effusion on the right side. The HRCT of the chest shows consolidation with adjacent centrilobular nodules in the left lung. There is right pleural effusion with a relatively homogeneous soft tissue opacity along the right apical pleura extending into the neck and the anterior chest wall. There is encasement of vessels without luminal narrowing. There are multiple enlarged lymph nodes in the right axilla. On MRI, the lesion is T2 hypointense, homogeneously enhancing with diffusion restriction. There is extension into the spinal canal compressing the cord.
The frontal chest radiograph shows two to three nodular soft tissue opacities in the left mid zone and lower zone. The rest of the left lung is hyperinflated. There is a moderate sized pleural effusion on the right side. The HRCT of the chest shows consolidation with adjacent centrilobular nodules in the left lung. There is right pleural effusion with a relatively homogeneous soft tissue opacity along the right apical pleura extending into the neck and the anterior chest wall. There is encasement of vessels without luminal narrowing. There are multiple enlarged lymph nodes in the right axilla. On MRI, the lesion is T2 hypointense, homogeneously enhancing with diffusion restriction. There is extension into the spinal canal compressing the cord.
A Pancoast tumor is named after Henry Khunrath Pancoast (1875–1939), a pioneering American radiologist. He was the first Professor of radiology in the United States, based at the University of Pennsylvania. He first described this specific type of apical lung cancer in 1924.
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