PT  - JOURNAL ARTICLE
AU  - Shanmugathas, Nimlan
AU  - Rajwani, Kapil Mohan
AU  - Dev, Shumontha
TI  - Pancoast tumour presenting as shoulder pain with Horner’s syndrome
AID  - 10.1136/bcr-2018-227873
DP  - 2019 Jan 01
TA  - BMJ Case Reports
PG  - bcr-2018-227873
VI  - 12
IP  - 1
4099  - http://casereports.bmj.com/content/12/1/bcr-2018-227873.short
4100  - http://casereports.bmj.com/content/12/1/bcr-2018-227873.full
SO  - BMJ Case Reports2019 Jan 01; 12
AB  - A 54-year-old man presented to the emergency department with a 4-week history of right shoulder pain radiating down his arm, with some associated sensory loss. Further questioning and examination in the department revealed a classical Horner’s syndrome; miosis, partial ptosis and hemifacial anhidrosis. An initial chest X-ray was deemed to be unremarkable; however, further review by a radiologist noted asymmetrical right apical thickening. A subsequent high-resolution CT scan of the chest revealed a right-sided Pancoast tumour. This case highlights the importance of a thorough history and examination in identifying a rare cause of shoulder and/or back pain.