Unilateral adrenal metastasis from lung cancer

Case contributed by Dr Farhad Farzam


Follow up case of right lung cancer.

Patient Data

Age: 65 years
Gender: Female
  • A large cavitary mass lesion with thick, irregular enhancing walls in the posterior segment of the right upper lobe (known primary).
  • Numerous pulmonary nodules of variable size scattered in the right and left lungs (secondary metastatic deposits). 
  • Evidence of interlobular septal thickening in both lungs (possibly lymphangitis carcinomatosis).
  • Multiple enlarged lymph nodes in both pulmonary hila, right paratracheal and sub-carinal level. 
  • Mild pericardial effusion with minimal right-sided pleural effusion.
  • A note is made for left thyroid nodule slightly deviating the trachea to the right side. 
  • A solitary, well-defined, enhancing solid lesion in the right adrenal gland.
  • Left adrenal appears unremarkable. 


Case Discussion

Metastases are the most common malignant lesion of the adrenals. Lung cancer is one of the most common malignant lesions to metastasize to the adrenals. 

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Case information

rID: 70325
Published: 14th Aug 2019
Last edited: 14th Aug 2019
System: Oncology
Inclusion in quiz mode: Included
Institution: Kabul University of Medical Science

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