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A 56-year-old man with a 42-pack year smoking history presented with complaints of acute-onset left shoulder pain, weakness and numbness of the left hand. A chest X-ray examination revealed a large apical opacity with complete destruction of first, second and third left ribs (figure 1), which was then confirmed with a chest CT scan (figure 2), which showed a large apical 9 cm heterogeneous …
Footnotes
Contributors ET: directly involved with the patient care and prepared the manuscript. SVC: performed literature search and prepared the manuscript.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.
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