Pulmonary carcinoid with hepatic metastases

Case contributed by Dr Hani Salam

Presentation

A young male patient referred with liver masses for evaluation.

Patient Data

Gender: Male
Modality: X-ray
Modality: CT
Modality: Nuclear medicine

Case Discussion

CT scan of the chest, abdomen and pelvis was performed which revealed an endobronchial lesion in the superior segment of the lingual. Multiple varying size hepatic lesion likely to be metastasis, which was confirmed by biopsy one of the lesion which turn to be a neuroendocrine tumor. Tc-Octeriotide scan was performed which revealed radiotracer uptake in the chest corresponding to the lingular endobronchial lesion and hepatic uptake corresponding to the metastases.

3 months later the patient developed shortness of breath. CTPA was performed to rule out pulmonary embolism. No emboli within the pulmonary arteries were seen however the size of the liver metastases where tremendously increase with elevation of the right hemi-diaphragm. The size of the pulmonary carcinoid did not change significantly.

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Case Information

rID: 10177
Case created: 18th Jul 2010
Last edited: 5th Dec 2015
Tags: lung, liver
Inclusion in quiz mode: Included

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