PMC3515415_01
Chest x-ray demonstrating an elevated right hemi-diaphragm, mediastinal lymphadenopathy, and tracheal compression near the level of the carina.
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figure1
A chest radiograph showed an elevated right hemi-diaphragm, mediastinal lymphadenopathy, as well as tracheal compression near the level of the carina (Figure 1).
a) CT thorax demonstrating tracheal compression at the level of the tumor b) Lateral view showing the large mediastinal NSCLC with compression of the right mainstem bronchus.
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figure2
CT scan of chest showed a mediastinal mass completely encasing the patient's superior vena cava (Figure 2a and b).
CK7 (cytokeratin 7), H&E, and Diff Quick staining of pathologic specimen. Morphology, positive CK7, and negative CD20 favoured adenocarcinoma of the lung.
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figure3
The combined morphologic features and immunoprofile were consistent with non-small cell carcinoma, favouring adenocarcinoma (Figure 3).