1. CT scan of the chest
The study shows a large well defined , irregular shaped , soft tissue density mass at the apical and anterior segments of the RUL
The size is about 4.5x6.8 cm Also enlarged of the rt para tracheal soft tissue mass , size about 4.3x4.7 cm
Small bilateral pleural effusion
The trachea and both mainstem bronchi are not narrowed
Heart is not enlarged . The great vessels are unremarkable . Lung window study shows small bronchi ecstatic change at the LUL .
Tracheostomy tube is in placed. NG tube is seen with its tip in the stomach.
Post contrast study shows abnormal enhancement of the mass at the RUL.
IMP: Malignant lung mass at the apical and anterior segment of the RUL,
Enlarged of the rt paratracheal lymph nodes.
Small bilateral pleural effusion.
Small bronchiectatic change athe LUL.