Learning Radiology xray montage
 
 
 
 
 

Metastatic Lung Disease - Causes of



SOLITARY METASTASES

MULTIPLE  NODULES

 

  • Colon (30-40%)
  • Sarcomas, particularly from bone
  • Kidney
  • Testicle
  • Breast
  • Malignant melanoma

 

 

  • Kidney
  • Thyroid
  • Colon
  • Breast
  • Sarcoma of bone or soft tissue

LYMPHANGITIC SPREAD

CAVITARY METS

 

Lesions arise around chest

Simulate CHF

 

  • Lung
  • Breast
  • Thyroid
  • Larynx
  • Stomach
  • Pancreas
  • Cervix

 

 

Usually thick walled with nodular inner margin

 

  • Squamous cell primaries such as
  • Head and neck tumors
  • Ca of the cervix
  • Transitional cell ca
  • Melanoma
  • Adenocarcinoma

Multiple Nodular Metastases to Lung

Multiple Nodular Metastases to Lung, Colon Cancer. There are multiple masses in both lungs of varying size
implying multiple episodes of tumor embolization. Such nodules are usually hematogenously spread from their primary, in this case colon carcinoma.

cavitary lung metastases

Cavitary Metastases to the Lung. Frontal chest radiograph shows multiple masses in both lungs. Several of the masses are cavitary (white arrows). The patient had squamous cell carcinoma of the esophagus

 

metastases to lung breast carcinoma

Metastases to the Lung, breast carcinoma. Frontal chest radiograph shows multiple masses in both lungs. There are multiple surgical clips in the left axilla (black arrows) from a radical lymph node dissection. The patient had a primary breast cancer in the left breast.The patient had squamous cell carcinoma of the esophagus