Presentation
Breathlessness in an ex-smoker
Patient Data
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Complete left upper lobe collapse.
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Endobronchial mass producing the lobar atelectasis and a large right adrenal mass. No other obvious metastatic lesions.
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PET-CT for staging of the probable lung malignancy. Marked FDG uptake associated with the left upper lobe bronchus producing the atelectasis as well as in the large right adrenal metastasis.
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Solid mass lesion in the right adrenal gland with a heterogeneous echotexture.
Case Discussion
The adrenal is a favored metastatic site for lung cancer. Small cell lung cancers typically exhibit large, dispersed metastases with relatively small primaries, including lymphadenopathy but also visceral metastases.