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Superior sulcus tumor

Imaging findings

Chest CT shows a large, solid mass in the posterior aspect of the left pulmonary apex encroaching upon the adjacent vertebral body, in a patient presenting with ipsilateral ptosis and miosis.

Key takeaways

Superior sulcus tumors (Pancoast tumors) arise at the lung apex and can invade the sympathetic trunk or stellate ganglion, presenting clinically with Horner syndrome (ptosis, miosis, and anhidrosis).

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