From the case:
Metastatic melanoma
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- enlarged neck (right cervical level IV) lymph nodes
- right axillary mass (likely amalgamated nodes)
- right internal mammary lymph node chain & subcarinal enlargement
- enlarged porto-caval lymph node
- enlarged right adrenal gland
- liver metastasis
- splenic metastasis
Case Discussion
This patient presented with metastatic melanoma after ignoring the enlarging melanomatous lesion and the right anterior chest wall swelling.