PMC5621112_01
Chest x-ray on presentation, showing mediastinal widening and left parahilar infiltrate
40248_2017_107_Fig1_HTML.jpg
PMC5621112_01_40248_2017_107_Fig1_HTML.jpg
Fig1
Initial chest CT. Attenuation in the left upper lobe and contralateral nodule on the parenchymal window (a). Bilateral adenopathy on the mediastinal window (b)
40248_2017_107_Fig2_HTML.jpg
PMC5621112_01_40248_2017_107_Fig2_HTML.jpg
Fig2
On the parenchymal window, CT revealed an ill-defined heterogeneous attenuation in the left upper lobe with blurred margins, as well as a solitary contralateral pulmonary nodule (Fig. 2).
Control chest CT. Extension of the left upper lobe lesion on the parenchymal window (a). Increase in lymph nodes enlargement and superior vena cava obstruction on the mediastinal window (b)
40248_2017_107_Fig3_HTML.jpg
PMC5621112_01_40248_2017_107_Fig3_HTML.jpg
Fig3
CT showed an obstruction of the SVC, a major increase in the mediastinal lymph nodes enlargement, an extension of the left upper lobe mass as well as a left adrenal gland metastasis (Figs. 3 and 4).
Control abdominal CT showing left adrenal gland metastasis
40248_2017_107_Fig4_HTML.jpg
PMC5621112_01_40248_2017_107_Fig4_HTML.jpg
Fig4
CT showed an obstruction of the SVC, a major increase in the mediastinal lymph nodes enlargement, an extension of the left upper lobe mass as well as a left adrenal gland metastasis (Figs. 3 and 4).