Metastastic small cell lung carcinoma

Case contributed by Dr Gagandeep Singh

CT scoutogram demonstrates bulkiness of the left hilum with collapse of the left lower lobe and a small pleural effusion. 

CT though the chest with contrast demonstrates numerous necrotic lymph nodes in the subcarinal region and left hilum with almost complete obliteration of left lower lobe bronchus with left lower lobe collapse. 

There is a tiny left pleural effusion and bilateral enhancing adrenal lesions.

Enhancing right adrenal mass. 

Multiple enhancing nodules scattered throughout cerebral and cerebellar hemisphere bilaterally are in keeping with cerebral metastases, some of which are haemorrhagic.

Case Discussion

Findings are consistent with the subsequently pathology proven bronchogenic small cell carcinoma.

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Case information

rID: 8615
Case created: 17th Feb 2010
Last edited: 14th Nov 2015
Tag: lungs
Inclusion in quiz mode: Included

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