Can you link the X-ray findings to the presenting signs and symptoms?
Shortness of breath - consolidation and loss of volume due to raised hemidiaphragm (see question 4)
Arm swelling - venous and/or lymphatic compression
Hand pain - brachial plexus invasion
Voice changes (see questions 2)
Eye abnormality (see questions 3)
Can you explain the change in her voice?
Recurrent laryngeal nerve invasion
What is the cause of the small pupil of the left eye?
Horner's syndrome - ptosis, miosis, enophthalmos, anhydrosis - due to interruption of the sympathetic supply to the eye
Why is the left hemidiaphragm raised?
Phrenic nerve invasion/dysfunction