Cardiac
GI
Bone
GU
Neuro
Peds
Faculty
Student
Quizzes
Image DDX
Museum
Mobile
  Misc
Videocasts
Signs
Twitter

 

 

Learning
Radiology:
Recognizing
the Basics
Available
on the Kindle
and IPad

LearningRadiology Imaging Signs
on Twitter

  

Follow us on

Case of the Week 497



What is the most likely diagnosis?

  • 73 year-old with left arm pain



Frontal Radiograph of the Chest

  1. Tuberculosis
  2. Subclavian artery aneurysm
  3. Mesothelioma
  4. Pancoast Tumor
  5. Sarcoidosis

Additional Image-close-up of a portion of the lung

 

Additional Images

 

Close-up of left upper lung field


Answer:

 

4. Pancoast Tumor

 

More (Click Discussion Tab)

 

 

Pancoast Tumor

General Considerations

  • A lung tumor arising in the superior sulcus and comprising fewer than 5% of all primary lung cancers
  • Described by Henry Pancoast in 1932
  • The majority of the tumor growth is extrathoracic
  • Directly invades
    • Adjacent ribs, especially the 1st, 2nd and 3rd
    • Vertebrae
    • Brachial plexus
    • Stellate ganglion
  • Most are squamous cell carcinomas
    • Fewer than 5% are small cell carcinomas

 

MORE . . .

 


.

This Week
73 year-old with left arm pain
 
Presented as a series of cards, this podcast asks some of the most common causes of neuroimaging findings and diseases making it ideal for a quick review. Can be used as either an audio only or audio/video podcast.; Complements Video Flashcard Podcasts 15, 21,25, 38, 42, 46 and 47.
 
 
Some of the fundamentals of interpreting chest images
 
The top diagnostic imaging diagnoses that all medical students should recognize according to the Alliance of Medical Student Educators in Radiology
 
Recognizing normal and  key abnormal intestinal gas patterns, free air and abdominal calcifications
 
Recognizing the parameters that define a good chest x-ray; avoiding common pitfalls
 
How to recognize the most common arthritides


Now Open!

LearningRadiology
Named Magazine's
"25 Most Influential"

See Article on LearningRadiology
in August, 2010
RSNA News

LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.