case_images: PMC11816822_01
case_images: Axial section of magnetic resonance imaging showing the location and appearance of the lesion.
case_images: cureus-0017-00000077368-i01.jpg
case_images: PMC11816822_01_cureus-0017-00000077368-i01.jpg
case_images: FIG1
case_images: A left apical lesion was detected on a chest X-ray, and a well-defined 23 mm soft tissue density lesion adjacent to the left subclavian artery, extending into the thorax, was observed on chest computed tomography (CT) (Figure 1).
case_images: Coronal section of magnetic resonance imaging showing the location and appearance of the lesion.
case_images: cureus-0017-00000077368-i02.jpg
case_images: PMC11816822_01_cureus-0017-00000077368-i02.jpg
case_images: FIG2
case_images: The lesion, evaluated as cystic, was located in the apical segment of the left upper lobe on lung-mediastinum MRI (Figures 2-3).
case_images: Coronal section of thoracic computed tomography showing the location and appearance of the lesion.
case_images: cureus-0017-00000077368-i03.jpg
case_images: PMC11816822_01_cureus-0017-00000077368-i03.jpg
case_images: FIG3
case_images: The lesion, evaluated as cystic, was located in the apical segment of the left upper lobe on lung-mediastinum MRI (Figures 2-3).
case_images: A) The PET (Positron emission tomography) coronal section shows the localization of the lesion and its corresponding FDG (Fluorodeoxyglucose) uptake, providing a clear view of the tumor's metabolic activity and spatial relationship with surrounding structures.. B) The PET axial section provides a detailed visualization of the lesion's localization and FDG uptake, offering additional insight into the tumor's characteristics and its interaction with nearby tissues.
case_images: cureus-0017-00000077368-i04.jpg
case_images: PMC11816822_01_cureus-0017-00000077368-i04.jpg
case_images: FIG4
case_images: PET imaging showed fluorodeoxyglucose F18 (FDG) uptake (SUVmax: 5.00), a positron-emitting radiotracer used with PET to diagnose and monitor various conditions (Figure 4).
case_images: A) Location and appearance of the lesion during video-assisted thoracoscopic surgery (VATS) exploration.. B) Capsule and vascular structure of the lesion during VATS exploration. C) VATS image of the lesion after the parietal pleura has been dissected. D) VATS image showing the continuation of the lesion's nerve root and cervical extension, with the nerve root marked by an asterisk.
case_images: cureus-0017-00000077368-i05.jpg
case_images: PMC11816822_01_cureus-0017-00000077368-i05.jpg
case_images: FIG5
case_images: During VATS exploration, a cystic lesion located in the cupula with intrathoracic extension was observed (Figure 5).