PMC8348151_01
(Above) Axial chest imaging on admission showing innumerable pulmonary parenchymal nodules throughout both lungs with a large peripherally located, 5.0 x 4.0 cm mass with a central area of necrosis and extensive involvement of the paratracheal and left hilar lymph nodes contiguous with the mass. The mass extended into the lingula as well as the superior segment of the left lower lobe with surrounding consolidation likely post-obstructive pneumonitis.
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There was also pleural effusion around the mass as well (Fig. 1).
(Above) Coronal computed tomography showing a 4.0 x 4.5 cm pancreatic head mass with extension inferiorly into the retroperitoneum with a 2.7 cm biliary ductal dilation, indicating severe obstruction.
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A grossly dilated common bile duct and enlarged retroperitoneal lymph nodes contiguous with the mass were also seen (Fig. 2).