Bilateral Vocal Cord Paralysis and Cervicolumbar Radiculopathy as the Presenting Paraneoplastic Manifestations of Small Cell Lung Cancer: A Case Report and Literature Review

Figure 1

CT scan of the thorax demonstrating necrotic paratracheal node. Enhanced axial CT scan of the thorax, mediastinal window, in a 58-year-old female who presented with bilateral vocal cord immobility of unknown etiology. The positive serum anti-Hu antibody, which is highly associated with small cell lung carcinoma, led to this repeat CT scan. The arrow demonstrates an enlarged level 4R paratracheal lymph node with central necrosis. See Figure 2 for the pathologic description of a biopsy from this node.