Case Report
Solid to cystic: A case report of imaging findings of atypical lung metastases
South African Journal of Radiology | Vol 23, No 1 | a1663 |
DOI: https://doi.org/10.4102/sajr.v23i1.1663
| © 2019 Tanusha Sewchuran
| This work is licensed under CC Attribution 4.0
Submitted: 14 September 2018 | Published: 28 January 2019
Submitted: 14 September 2018 | Published: 28 January 2019
About the author(s)
Tanusha Sewchuran, Department of Radiology, College of Health Sciences, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, South AfricaAbstract
The imaging spectrum of pulmonary metastases varies greatly, with solid and partly cavitating nodules being the most common. When imaging the oncology patient, specifically follow-up imaging post-treatment, the radiological aim is to assess for disease regression and thus treatment response, usually with resolution of these nodules. We report an interesting case series of a patient with primary endometrial carcinoma presenting with pulmonary metastases. This imaging series eloquently depicts the temporal evolution of the metastatic solid pulmonary nodules to cavitating nodules and finally to thin-walled cysts. Baseline imaging in this scenario is vital to exclude pre-existing cystic lung disease. The progression of solid pulmonary metastases to simple cysts is an uncommon therapy-related consequence, but an important entity to recognise, not only as an indicator of good treatment response, but also to evaluate for potential life-threatening complications such as spontaneous pneumothoraces.
Keywords
chemotherapy; lung metastase
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