Left supraclavicular mass

A 41-year-old man was presented with cough and pain in left arm; his chest x-ray suspected lung tuberculosis. He was then treated for tuberculosis for 3-months. But the pain was getting worse. What could be the possible reason?

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EPTB Cervical lymphadenopathy. Cervical spondlythesis

The supraclavicular lymph nodes are a set of lymph nodes found just above the clavicle or collarbone, toward the hollow of the neck. ... Swelling and pain in the lymph nodes are signs of an infection and sometimes, a malignancy (a cancerous tumor).

Left cervical lymphadenopathy

CH bronchitis with emphysema with pulm koch s and plural thickening

PT with bilateral cervical ribs DD CANCER LUNG , LEFT with pleural infiltration MRI , BAL , Biopsy

? TB..SPINES..

Tnx Dr Gyanendranath Tripathy
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Tuberculous spondylitis??!

First x-ray shows suspected to ptb,cervical spondylitis

Bil emphysematus bullae seen. Rt sub pleural irregular opacities seen. Left apical densed mass lesion seen. Changes of traction bronchiectasis seen. Adv biopsy HPE of lesion to rule out malignancy. Sos PET scan. Consider pancoast tumor. Further management accordingly.

Dear sir ,erosion of the rib is not a feature of Pancoast tumour.Also the same is common in rt.upper zone.
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PTB Sequelae Neck C56 degenerative changes ? Tubercular spine I

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