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let me start by showing you the chest of a frightened 65 year old man hes frightened because hes no fool and hes smoked over his life then hes got a chronic cough which he cant get rid of and this is a CT scan thats been rendered so you can see his skin the top right and left corners are the folds of his armpits and the top in the middle of her do you lap the saggy bits of skin under his neck and were going to do a virtual dissection and were going to dissolve his skin to reveal the 50 or 60 layers of muscles that lie around the ribcage the costal cartilage that started to calcify on the outside the 40 also ribs that encase all your soft and precious organs and then inside those weve got layers of pleura that invests the lungs and the heart and then deeper again and weve got the Airways the trachea the bronchi which lead out to some 30,000 small bronchioles and in there is his lung cancer sitting in the apex of his left lung so radiologists look at x-rays the way we look at