Pulmonary metastases from renal cell carcinoma

Case contributed by Subhan Iqbal
Diagnosis almost certain

Presentation

Biopsy proven case of renal cell carcinoma, complain of shortness of breath

Patient Data

Age: 60 years
Gender: Male
  • multiple well-defined fluffy radio-opacities are seen involving both lung fields, findings are secondary to already know renal cell carcinoma with pulmonary metastasis

  • midline sternotomy sutures are also noted

  • increase cardio-thoracic ratio noted, suggestive of cardiomegaly

Annotated image

Arrow points to few of cannon ball metastasis.

Case Discussion

Metastases with such an appearance are classically secondary to:

Or less common primary tumors:

Chest CT (images are not available) confirms cannonball metastasis.

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