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?



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.

Dear sir ,erosion of the rib is not a feature of Pancoast tumour.Also the same is common in rt.upper zone.

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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Tuberculous lymphadenitis. It is a chronic, specific granulomatous inflammation of the lymph node with caseation necrosis, caused by infection with Mycobacterium tuberculosis or related bacteria. The characteristic morphological element is the tuberculous granuloma (caseating tubercule).

The supraclavicular lymph nodes are a set of lymph nodes found just above the clavicle or collarbone, toward the hollow of the neck. ... Swelling and pain in the lymph nodes are signs of an infection and sometimes, a malignancy (a cancerous tumor).

Hyperinflatted lungs with emphysema Lt apical heziness? pancoast tumour PET scan FNAC


Tnx Dr Gyanendranath Tripathy

PTB Sequelae Neck C56 degenerative changes ? Tubercular spine I

EPTB Cervical lymphadenopathy. Cervical spondlythesis

CH bronchitis with emphysema with pulm koch s and plural thickening


Thanks Dr. Pushker Bhomia

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