Renal cell carcinoma with pulmonary metastases

Case contributed by Dr Subhan Iqbal


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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