Presentation
Previous head and neck malignancy. Night sweats and dyspnea.
Patient Data
Age: 65 years
From the case:
Lung metastases
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Multiple lung nodules and masses in both lungs of variable size. No internal cavitation.
Normal mediastinal contours.
Heart size normal.
Surgical clips in the left axilla.
Case Discussion
Multiple nodules in both lungs of variable size with a prior history of malignancy are virtually always metastases.
Remember a lung nodule is termed a mass when 3 cm or greater.
Head and neck malignancies are typically squamous cell carcinomas and often cavitate when metastatic, although not in this case.