Large pulmonary mass behind pacemaker generator

Discussion:

The patient underwent staging CT of the chest, abdomen and pelvis which revealed a non-obstructive hepatic flexure tumor and a solitary left upper lobe pulmonary mass abutting the anterior costal pleura. Colonoscopy and biopsy confirmed colonic adenocarcinoma. The patient declined treatment and was lost to follow up, hence the pulmonary mass is suspected (and not confirmed) as a metastasis.

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