PMC3138115_01
Enlarged supraclavicular node.
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His ECG was normal; however, the CT scan of the trachea demonstrated an enlarged supraclavicular node (Figure 1), and on the CT scan of the thorax (Figure 2), nodes between the vessels of the upper mediastinum were demonstrated.  Although thoracoscopy is usually the routine procedure to obtain a pleural biopsy, an alternative method of biopsing the enlarged supraclavicular lymph node (Figure 1) was preferred to confirm the diagnosis of mesothelioma.
Axial enhanced CT-image of paratracheal right-sided mass and pleural effusion.
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fig2
His ECG was normal; however, the CT scan of the trachea demonstrated an enlarged supraclavicular node (Figure 1), and on the CT scan of the thorax (Figure 2), nodes between the vessels of the upper mediastinum were demonstrated.
Axial enhanced CT-image of the lower part of the chest (mediastinal window) shows small pleural effusion and an epiphrenic node at the right. Ascites and thickness of the right crus are also noticed.
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fig3
In addition, small pleural effusion and an epiphrenic node on the right were observed (Figure 3).
Axial stir (short-tau-invesion-recovery) MR image of the upper thorax demonstrates a lesion located in the right part of the anterior thoracic wall and shows increased inhomogeneous signal intensity. The lesion has irregular contour, involving the major pectoralis muscle. Inside the lesion, a node is noticed.
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fig4
The MRI of the upper thorax revealed that the lesion had irregular contour, involving the major pectoralis muscle (Figure 4).