Metastatic thoracic neoplasm and pleural effusion - subxiphoid pericardial biopse and window

Cervico-mediastinal recorrence - Esophageal carcinoma

82 years old lady previously treated for esophageal carcinoma of middle thoracic esophagus with chemo-radiation therapy. Clinical presentation was progressive hoarseness. CT scan showed a right paratracheal and periesophageal mass. Bronchoscopy confirmed right vocal cord palsy and diagnosis was made trought cervical mediastinoscopy.

Melanoma

Metastatic desease to mediastinum, pleura, axilary nodes and subcutaneus nodes of the thoracic skin.