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Images in Thorax
Unexpected migration
  1. Gayatri Raghuram1,
  2. Dipak Mukherjee2,
  3. Kanwar Pannu2,
  4. Sudhir Bhusari3
  1. 1Department of General Practice, University College London Hospitals NHS Foundation Trust, London, UK
  2. 2Department of Respiratory Medicine, Basildon University Hospital NHS Trust, Basildon, UK
  3. 3Department of Cardiothoracic Surgery, Basildon University Hospital NHS Trust, Essex, UK
  1. Correspondence to Dr Gayatri Raghuram, University College London Hospitals NHS Foundation Trust, London, UK; gayatriraghuram3{at}gmail.com

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A 79-year-old man had presented to his general practitioner with a non-resolving pneumonia. He was treated with three courses of antibiotics after which a chest radiograph (figure 1) showed right lower zone opacity with an effusion raising concerns of underlying malignancy. He was referred urgently to the respiratory team via the suspected cancer pathway. A staging CT scan of chest and liver (figure 1) was requested. The staging CT chest and liver described a focal mass-like consolidation in the subpleural region of the right middle lobe and …

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