Radiology Quiz

Case history

A 32 year old sports teacher presented via her puzzled general practitioner complaining of a gradual progression of shortness of breath when exerting herself at work. She also had an annoying cough and was uncharacteristically tired. Her only other complaint was of a sore red right eye that kept watering. On examination a small, non-tender lump was noted in the right supraclavicular fossa.

A chest radiograph shown here was taken.

Questions

• (1) What radiological abnormalities are present on this film?

• (2) What is your differential diagnosis for this abnormality?

• (3) What other investigations might you consider to assist the diagnosis?

• (4) What is the characteristic histopathology of …