Bone destruction
- This close up image of a chest X-ray shows a large mass of the right upper zone due to a lung cancer
- Large gaps in the right 3rd rib (orange) and 4th rib (red) are due to direct invasion of the cancer into the chest wall with bone destruction
- This patient presented with increasing shoulder pain and had no respiratory symptoms other than a long-standing smoking related cough
Bone destruction
- This CT image of the same patient shows the extent of the mass
- The 3rd and 4th ribs are completely destroyed on the right - compare with the normal ribs on the other side