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Case of the Week 626


What is the most likely diagnosis?

  • 63 year-old male with metastatic disease to the lungs. What is the most likely primary?



Frontal and lateral radiographs of chest

  1. Glioblastoma Multiforme
  2. Small Cell Lung Cancer
  3. Carcinoma of the Prostate
  4. Carcinoma of the Esophagus
  5. Pancreatic Adenocarcinoma

Additional Images-Axial CT scan image of chest

 

Additional Images

 

Axial CT scan image of chest


Answer:

4. Carcinoma of the Esophagus

More (Click Discussion Tab)

 

 

Cavitary Metastases from Esophageal Carcinoma

General Considerations

  • Metastases to the lung occur in about 30% of all malignant disease
  • Routes of spread include hematogenous, lymphangitic and direct extension
  • Most metastatic lung nodules develop through hematogenous spread
  • Primary lung carcinomas cavitate more frequently than metastatic lesions to the lung
  • Most cavitary metastases are epithelial in origin

MORE . . .


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This Week

63 year-old male with metastatic disease to the lungs. What is the most likely primary?
 
 



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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.