18. • Pulmonary malignancy
• Mediastinal malignancy
• Esophageal malignancy
Right
Supra
clavicular
• Intra abdominal malignancy
• Renal ca
• Testicular or ovarian
malignancy
Left
supra
clavicular
34. 6.Are there unusual epidemiological
clues???
Exposure to cats
Travel
Exposure to bird droppings
Lacerations during gardening
Exposure to TB
Sexual exposure