Pulmonary metastases - cannon ball

Case contributed by Desiré Ciske Havinga
Diagnosis certain

Presentation

Follow up chest x-ray in known breast cancer patient.

Patient Data

Age: 50 years
Gender: Female

The most obvious finding is that of numerous bilateral round hyperdensities of variable sizes of the pulmonary parenchyma, so-called "cannonball metastases" in this clinical picture.

Right mastectomy.

The trachea and mainstem bronchi remain patent and central.
The cardiothoracic ratio is normal.
No pleural effusion.
No osseous lesions.

Case Discussion

This appearance is considered pathognomonic for metastases.

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