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A 58-year-old woman with a 40 pack-year smoking history presented with several weeks of shortness of breath, chest pain radiating to the back and a hoarse voice. Initial chest X-ray showed a new left upper lobe mass concerning for malignancy. She then underwent positron emission tomography(PET)-CT, which revealed a fluorodeoxyglucose (FDG)-avid left hilar lung mass, (figure 1, red arrow) and left supraclavicular and mediastinal lymphadenopathy (figure 1, orange and green arrows). The PET-CT also showed asymmetric FDG uptake of the vocal folds at the level of the thyroid cartilage …
Contributors Drs CM, ZAKF, BO and AZC all contributed to the planning, conduct and reporting of the manuscript. Dr CM is responsible for the overall content as guarantor.
Competing interests None declared.
Patient consent Obtained
Provenance and peer review Not commissioned; externally peer reviewed.
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