International Journal of Clinical & Medical Images

67 year old male presenting with worsening cough, hemoptysis, shortness of breath and weight loss over the last 6 months. He has a 50 pack year history of smoking tobacco, with no reported past medical history. Chest radiography showed a complete opacification of left lung with mediastinal shift to the right (Figure 1A). A computed Tomography of the chest disclosed a complex predominantly cystic lesion within the left hemithorax with mass effect on left upper quadrant visceral organs and mediastinal shift to the right (Figure 1B and 1C). Histopathological examination of the tissue sample obtained post pneumonectomy revealed a lung adenomacarcinoma of acinar type.