Fibular metastasis - lung cancer

Case contributed by Dr Sameh Botros

Presentation

Leg pain , DVT ??

Patient Data

Age: 65 years
Gender: Male
Ultrasound

fibula

A juxtacortical soft tissue lesion is seen eroding the distal fibula. A large feeding vessel with low resistivity in a biphasic flow pattern is seen arising from peroneal artery, in contrast to the peroneal artery triphasic flow.

X-ray

chest xray

Right upper lobe lung mass with associated smaller adjacent nodules

Right upper lobe lung mass with associated smaller nodules.

Right lower 9th rib lytic lesion.

Left pelvic lytic lesion.

Case Discussion

Soft tissue mass involving the distal fibula with associated abnormal low resistive vascularity suggestive of increased flow.

Further chest x-ray and CT showed findings consistent with primary lung malignancy.

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Case information

rID: 64404
Published: 11th Dec 2018
Last edited: 4th Feb 2020
System: Chest, Oncology
Inclusion in quiz mode: Included
Excluded from licensing
Institution: Fellowship of Egyptian Board of Radiology

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