Cannonball-Like Lung Nodules in a Patient With a Colorectal Tumor.

Abstract:

CASE PRESENTATION:A 72-year-old man underwent endoscopic resection of a 10-mm polypoid sessile lesion of the rectum. Histologic examination found a well-differentiated, low-grade (G1), neuroendocrine tumor. A thoracoabdominal CT scan was performed for staging purposes. The chest CT scan revealed a so-called cannonball-like distribution of multiple rounded nodules, with well-defined margins, ranging from 0.5 to 5 cm, scattered in both lungs (Figs 1A, 1B). The abdominal CT scan showed no abnormalities. A recent colonoscopy showed no evidence of malignancy. No prior chest imaging was available and the patient had never complained of respiratory symptoms. The patient was a former smoker, with a smoking history of 20 pack-years. He had a history of hypertension, mild stenosis of both carotid arteries, and benign prostatic hypertrophy. He reported the presence of long-standing multiple cutaneous hemangiomas on the trunk and face and a larger hemangiomatous lesion on his left lower limb, which was previously investigated by color Doppler ultrasound imaging. All these lesions were reported as unaltered and unchanged since early infancy.

journal_name

Chest

journal_title

Chest

authors

Scamporlino A,Mengoli MC,Calabrese O,Della Casa G,Aramini B,Spallanzani A,Morandi U,Stefani A

doi

10.1016/j.chest.2019.05.007

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

e85-e89

issue

4

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(19)31096-7

journal_volume

156

pub_type

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