Typical clinical findings in a patient with superior vena cava syndrome due to small-cell lung cancer. Typical clinical findings in a patient with superior.

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Typical clinical findings in a patient with superior vena cava syndrome due to small-cell lung cancer. Typical clinical findings in a patient with superior vena cava syndrome due to small-cell lung cancer. This patient presented with dyspnea and elevated PaCO2. A: Plethora of face and neck. B: Distended jugular veins. C: Cyanosis of the lips. D: Right arm and hand massively swollen. E: Substantial collateral circulation (arrow). F: Computed tomogram shows compression of the superior vena cava (arrow) due to a large mediastinal mass, causing (F′) tracheal compression and deviation, and stridor. Philipp M Lepper et al. Respir Care 2011;56:653-666 (c) 2012 by Daedalus Enterprises, Inc.