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  • Weight loss and decreased appetite, increased respiratory effort that worsens with stress or excitement for the past 2 – 3 months.
  • On presentation she was tachypneic and oxygen-dependent.
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  • Large cavitary mass in the right mid-caudal thorax, displacing the cardiac silhouette to the left; gas/fluid interface clearly seen on the horizontal beam view.
  • Small abdominal hernia containing small intestine.
  • A CT was performed and showed a large mass that is centered around the bronchus and mainly non-enhancing.
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  • Thoracotomy and right caudal lung lobectomy was performed. At this time an abdominal hernia repair was performed.
  • Histopathology confirmed a pulmonary adenocarcinoma.