Cavitating pulmonary metastases

Case contributed by Dr Bruno Di Muzio

Presentation

Postmenopausal patient. Chest x-ray showed ill-defined densities. She denied any respiratory symptoms.

Patient Data

Age: 58
Gender: Female
CT

CT Chest

Multiple predominantly solid pulmonary nodules randomly distributed through both lungs, some of which with a central cavitation. TThe lung parenchyma is otherwise unremarkable. 

Case Discussion

The findings are highly concerning for metastatic haematogenous spread of unknown primary. 

Primary lung carcinomas cavities more frequently than metastatic lesions in the lung. Most cavitary metastases are epithelial in origin. 

This patient was not septic, making septic pulmonary emboli a less likely differential. The appearances are not those usually seen in cavitated lesions of granulomatosis with polyangitis.

Unfortunately, no further clinical details were available for this case. 

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Case information

rID: 17796
Published: 13th May 2012
Last edited: 16th Jul 2018
System: Chest
Inclusion in quiz mode: Included

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