In this Clinical Pathological Conference, Dr. Laura McDermott, Resident, Department of Medicine, presents the featured case of a 55-year old male with right lower lobe lung adenocarcinoma presenting with a chief complaint of double vision. Her review of the case includes the patient's history, physical exam, review of symptoms, and initial laboratory and imaging data.

Dr. Katie Scally, Assistant Professor, Department of Medicine, serves as the faculty discussant. She emphasizes the importance of the "one-liner" in care team communication. She explores the issues typically found in cancer patients, such as hypercoagularity and neurotoxicity from chemotherapy. She discusses the possible causes of binocular diplopia and relates them to the patient's presentation.

Dr. Sanket Borgaonkar, Fellow, Department of Medicine, Section of Cardiology and Dr. Harsha Garg, Resident, Department of Radiology, weigh in on further imaging findings used to diagnose the disease central to this case. The final diagnosis is discussed by Dr. Scally.