PMC5727684_01
Computed tomography scan of the chest showing right superior sulcus mass invading a vertebral body.
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A computed tomography (CT) scan revealed a large lung mass in the right superior sulcus with invasion of the C7 through T2 vertebral bodies, encasement of the right subclavian artery, compression of the right brachiocephalic vein, and possible invasion of the upper esophagus (Figure 1).
CT head with extensive pneumocephalus within the sulci and cisterns.
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CT scan of the head demonstrated interval development of extensive pneumocephalus tracking along the sulci and within the cisterns with mass effect on the frontal lobes (Figure 2).
CT spine demonstrating local invasion of the tumor and air within the vertebral bodies.
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T1 vertebral body extending into the right facet of T1 and T2 (Figures 3 and 4). There was also a minimal amount of air in the central canal at the C5 and C6 vertebral bodies.
MRI thoracic spine showing local invasion of tumor.
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T1 vertebral body extending into the right facet of T1 and T2 (Figures 3 and 4). There was also a minimal amount of air in the central canal at the C5 and C6 vertebral bodies.
CT chest showing air-fluid levels within chest after initiation of chemoradiation.
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Air-fluid levels within the tumor cavity were also present, indicating rapid necrosis of the mass (Figure 5).
CT chest demonstrating contiguity of mass with bronchus.
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Furthermore, the air-fluid levels within the mass were contiguous with a bronchus providing an entry for air (Figure 6).