PMC6310773_01
Chest radiograph (PA) view showing a lesion in right apical region.
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fig1
The chest radiograph is shown in Fig. 1.
a, 2b: The computed tomography (CT) of chest at the time of presentation showing a mass in the right apex. of 55 mm with invasion 11 mm invasion of D2.
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The CT chest of the patient is given in Fig. 2 a, 2b, 2c and 2d.
The CT abdomen on chemotherapy showing left adrenal metastasis.
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He also developed left adrenal lesion of 35 mm (Fig. 3).
The endosonographic image of esophageal ultrasound with ultrasound bronchoscope (EUS-B) guided left adrenal biopsy.
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Since the lung lesions had remained same in size, earlier result did not yield good tissue and adrenal metastasis versus metachronous primary was a dilemma, a left adrenal biopsy was performed with EUS-B (Fig. 4, video).