case_images: PMC5621112_01
case_images: Chest x-ray on presentation, showing mediastinal widening and left parahilar infiltrate
case_images: 40248_2017_107_Fig1_HTML.jpg
case_images: PMC5621112_01_40248_2017_107_Fig1_HTML.jpg
case_images: Fig1
case_images: Initial chest CT. Attenuation in the left upper lobe and contralateral nodule on the parenchymal window (a). Bilateral adenopathy on the mediastinal window (b)
case_images: 40248_2017_107_Fig2_HTML.jpg
case_images: PMC5621112_01_40248_2017_107_Fig2_HTML.jpg
case_images: Fig2
case_images: 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).
case_images: 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)
case_images: 40248_2017_107_Fig3_HTML.jpg
case_images: PMC5621112_01_40248_2017_107_Fig3_HTML.jpg
case_images: Fig3
case_images: 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).
case_images: Control abdominal CT showing left adrenal gland metastasis
case_images: 40248_2017_107_Fig4_HTML.jpg
case_images: PMC5621112_01_40248_2017_107_Fig4_HTML.jpg
case_images: Fig4
case_images: 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).