File:Bronchogenic carcinoma with superior vena cava syndrome (Radiopaedia 36497-38054 Axial lung window 29).jpg

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Summary:

Description
  • Radiopaedia case ID: 36497
  • Image ID: 12341571
  • Image stack position: 29/35
  • Plane projection: Axial
  • Aux modality: lung window
  • Study findings: There is a well defined heterogeneously enhancing mass lesion measuring 4.7x4.7x3.9 cm noted in the apical segment of right upper lobe. The mass has irregular margins and appears to infiltrate the surrounding lung parenchyma. There is an intimate relationship of the mass with the superior vena cava, however the intervening fat plane is maintained between the mass and the mediastinum. There is a large heterogeneously enhancing lymph node mass measuring 3.8x3.8 cm noted in the mediastinum anterior to the carina (lower right para tracheal level), which appears to encase and compress the  supra azygos part of superior vena cava and right main pulmonary artery with significant narrowing. The right superior intercostal veins and the azygos vein appears prominent suggestive of collateral circulation due to SVC obstruction. No evidence of chest wall invasion and rib erosion noted. The visualized abdomen appears normal.
  • Modality: CT
  • System: Oncology
  • Findings: There is an ill defined soft tissue mass lesion noted in the right upper zone.
Date Published: 26th Apr 2015
Source https://radiopaedia.org/cases/bronchogenic-carcinoma-with-superior-vena-cava-syndrome
Author Prashant Mudgal
Permission
(Permission-reusing-text)
http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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current10:54, 25 June 2021Thumbnail for version as of 10:54, 25 June 20212,263 × 1,214 (605 KB) (talk | contribs)Radiopaedia project rID:36497 (batch #5304-92 B29)

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