lytic Metastasis ca bronchus LSBU

Description: Radiology case 321-3316 75 year old man with back pain and a history of cough.
There is a destructive lesion of the (7th) thoracic vertebra. A normal vertebral body should appear intact in an axial cut at the level of the pedicles, which should include both. Divergence of the bronchi reveals the sub-carinal location of a soft tissue mass, separate from the descending aorta and revealed as enlargement of the sub-carinal glands. There was collapse consolidation of the right middle lobe. The small inset scout view shows the middle lobe collapse.