37-year-old woman with a history of asthma and
chronic cough presented with new progressive wheezing and
shortness of breath.
Thoracic CT scan demonstrated a paratracheal mass with a
narrowing of the distal trachea and proximal main stem
Bronchoscopy demonstrated occlusion of the main stem
bronchi due to extrinsic compression and an endobronchial
A PET/CT scan revealed hypermetabolic paratracheal and
peribronchial masses with no distant metastasis.
Given the clinical data and imaging findings, what is the least
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