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A 54-year-old woman, heavy smoker (30 packs/year) presented with 1-month of dry cough, in association with intermittent mild haemoptysis. She denied other complaints, has no remarkable medical problems and was not on any medications.
She looked well, and physical examination was normal. Chest X-ray showed a mediastinal mass, and chest CT scan confirmed a heterogeneous pretracheal mass extended from the upper third down to the main carina. PET-CT scan demonstrated increased standardised uptake values, without extra mediastinal involvement (figure 1).