Left supraclavicular mass

A 41-year-old man was presented with cough and pain in left arm; his chest x-ray suspected lung tuberculosis. He was then treated for tuberculosis for 3-months. But the pain was getting worse. What could be the possible reason?

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Bil emphysematus bullae seen. Rt sub pleural irregular opacities seen. Left apical densed mass lesion seen. Changes of traction bronchiectasis seen. Adv biopsy HPE of lesion to rule out malignancy. Sos PET scan. Consider pancoast tumor. Further management accordingly.
?? PTB SEQUALE/TB SPINE
Thanks Dr. Pushker Bhomia
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Infiltrates with fibrochachiatic lesions are seen lt apical zone Spine xray suggest rudimentary cervical rib errosive on lt side Pulmonary tuberculosis with sequele with ? Bone tuberculosis
Thanx dr Pushkar ji Bhomia
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Hyperinflatted lungs with emphysema Lt apical heziness? pancoast tumour PET scan FNAC
PTB Sequelae Neck C56 degenerative changes ? Tubercular spine I
EPTB Cervical lymphadenopathy. Cervical spondlythesis
L apical mass lesion,? Pancoast tumor.
PTB SEQUELE / TB spine
Thanks Dr G Tripathy
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MALIGNANCY LUNG
? TB..SPINES..
Tnx Dr Gyanendranath Tripathy
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