This 35 year old Pakistani man had right central bronchogenic carcinoma. The lesion was extending from the hilum of the right lung to the chest wall obstructing the right main bronchus.
There was an element of right lung collapse which leads to elevation of the right copula of the diaphragm. The retained secretion in the right lung gave black and white mottled appearance of the right lung field. The right lung was totally non-functioning i.e. clinical pneumonectomy.
Chest X-ray: P-A view, magnified view
CT scan chest:
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