Prostate metastases to lung

Case contributed by Derek Smith
Diagnosis probable


Known metastatic prostate cancer, under radiological surveillance. Presented with cough and features of fluid overload.

Patient Data

Age: 80 years
Gender: Male

Diffuse large "cannonball" metastases throughout both lungs. These are new from the radiograph of 5 years previously, but have been seen on cross sectional imaging.

Two chamber pacemaker and sternal wires noted.

Old right rib fractures, and new lytic lesion in the right scapula.

Case Discussion

Prostate cancer is a less common, but recognized cause of cannonball metastases, and should be included in your differential causes for older male patients presenting with this finding.

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