Solitary pulmonary nodule: melanoma metastasis

Case contributed by Dr Henry Knipe

Presentation

Febrile. Septic screen.

Patient Data

Age: 24
Gender: Male

2 cm left lower lobe nodule, projecting over the cardiac silhouette on the frontal view. No focal consolidation. Both costodiaphragmatic angles are blunted. Normal cardiomediastinal contour.

Case Discussion

This patient has a known history of malignant melanoma, and this pulmonary nodule is rapidly growing and represents a metastasis. The pulmonary nodule was subsequently proven on CT. 

The nodule lies in a check area, and may be subtle to some people. 

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