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A 44-year-old male smoker presented with productive cough, sore throat and dyspnea for 2 weeks. He had no fever but had lost about 8 kg in body weight in the recent 2 months. He was referred to a tertiary hospital where a physical examination revealed face, neck and right arm swelling. A chest plain film showed right upper lung consolidation and upper mediastinal widening (Figure 1). Chest computed tomography (CT) showed a right hilar-mediastinal large lobulated and confluent mass, measuring 10.7 × 9.5 × 12.0 cm. The lesion resulted in nearly complete obstruction of the superior vena cava (SVC) and an increase in mediastinum collateral circulation (Figure 2). A CT-guided biopsy of the tumor was performed, and a pathological examination revealed a picture of small cell carcinoma. Immunohistochemical analysis of the tumor revealed positive chromogranin A and synaptophysin staining. Due to the patient's …

Superior vena cava syndrome related fluid collection in retropharyngeal space