Pulmonary metastasis post mammary adenocarcinoma
Keywords
Pulmonary metastasis
Publication Date: 2014-11-01
History
10yr old DSH, Presented for anorexia this am, patient on presentation has a 4/6 murmur , hypothermia History of mammary adenocarcinoma
3 images
Findings
Three view thoracic radiographs are available for interpretation.
Multiple ill-defined, variably sized, small (0.8 cm) ovoid soft tissue nodules are present throughout the pulmonary parenchyma. A more consolidated area soft tissue opacity is seen in the caudodorsal lungs on the lateral projections, with subtle loss of definition of the diaphragm in this region. This opacity is seen in the left caudal lung on the ventrodorsal projection and appears to have a relatively ovoid shape (4.4 cm). The cardiac silhouette is slightly tall on the lateral projections. It is slightly to the left on the ventrodorsal projection, though this projection is oblique. The pulmonary vessels are difficult to appreciate due to the pulmonary pattern, but is not appear excessively enlarged. Mild dorsal deviation of sternebra 2 through 4 is seen and a convex fashion. More air than expected is seen in the small intestines.
Impression: numerous pulmonary nodules consistent with pulmonary metastasis. The consolidated region likely represents coalescing of pulmonary nodules, though could also represent a larger pulmonary nodule. A sliding hiatal hernia cannot be definitively ruled out in addition to pulmonary nodules in this region. Mild cardiomegaly most consistent with underlying cardiomyopathy. The appearance to the sternum is most consistent with previous trauma. Air within the small bowel consistent with aerophagia.
Diagnosis
Pulmonary metastasis
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