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Cavitating pulmonary metastases

Case contributed by Dr Bahman Rasuli

Presentation

Transitional cell carcinoma of the urinary bladder referred with the new onset dyspnea.

Patient Data

Age: 70 years
Gender: Male

Two large cavities with thick irregular walls along with left upper lobe apicoposterior and anterior segments associated with adjacent irregular thickening of interlobular septae

Close contact of cavities with aortic arch but the fat plane is preserved

Reticular bands and fine subpleural fibrotic changes along with both lower lobes superior and posterobasal segments

Air cysts within the right lung parenchyma.

Photo

Microscopic diagnosis was compatible with non-small cell carcinoma (primary or secoundary)

Case Discussion

Regarding the above imaging and pathological findings, metastatic transitional cell carcinoma to the lung is the most probable diagnosis.

Original case courtesy of Dr. Behrooz Emami Mehr.

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Case information

rID: 89545
Published: 3rd Jun 2021
Last edited: 6th Jun 2021
System: Oncology
Inclusion in quiz mode: Included
Institution: Jame Jam Imaging Center

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