A coronal reconstruction of a chest CT scan (A) shows a 5.1 cm, minimally-cavitating left lower squamous carcinoma (arrow). Image B is an axial scan through the upper chest and shows ipsilateral lymphadenopathy (arrows) and image C shows possible contralateral lymphadenopathy (arrow). EBUS-guided fine needle aspiration biopsy of the mediastinal nodes confirmed T3N3M0 status.