Man 41 yo,cough and pain at left arm; chest x-rays suspected lung tuberculosis, then he had been treated as antituberculosis for 3 months.
Butthe pain wasgettingworse and one massappeared at left supraclavicular fossa.
X-rays again showed this first ribin erosion on the left site.
Ultrasoundscanning at leftsupraclavicular fossa and disclosed asolid mass in calcification
and fluid collection onthe rightsite.
MSCT with CE of the lungsdetectedthe massdestructingthe first rib.
Biopsy was done.
Biopsy microscopy report is adenocarcinoma , it is PANCOAST TOBIAS SYNDROME.
