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Figure 2 :CT thorax revealed a mass in the anterior segment of the left upper lobe with irregular margins measuring 4 5 3 cm in size with a large mass with irregular margins in the prevascular region of the anterior mediastinum with multiple lymph nodes seen in the mediastinum. A moderate-size pleural effusion was noted on the left side and an osteolytic lesion was present in the body of the D10 vertebral body

Figure 2 :CT thorax revealed a mass in the anterior segment of the left upper lobe with irregular margins measuring 4  5  3 cm in size with a large mass with irregular margins in the prevascular region of the anterior mediastinum with multiple lymph nodes seen in the mediastinum. A moderate-size pleural effusion was noted on the left side and an osteolytic lesion was present in the body of the D10 vertebral body