###

### Clinical history

##

59-year old woman
Previous lung carcinoma of the right upper lobe diagnosed 4 years ago
Stage IV with unique brain metastase
Treated by chemotherapy (cisplatine-Gemcitabine) + mediastinal radiotherapy
Routine chest radiography + PET-CT

### Radiological images

### Radiological findings

### CT images

### CT findings

### Extra Examinations

None.

### Final diagnosis

Surgery was performed and revealed a tumor recurrence invading the mediastinal pleura on the left side at the level of the aorto-pulmonary window as demonstrated on PET-CT examination
Pathology revealed a poorly differentiated adenocarcinoma

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