PMC7218319_01
Axial contrast-enhanced computed tomography scan demonstrates small pericardial and left pleural effusions.
10.1177_2324709620918101-fig1.jpg
PMC7218319_01_10.1177_2324709620918101-fig1.jpg
fig1-2324709620918101
Computed tomography (CT) of the chest revealed small pericardial and left pleural effusions (Figure 1), and a large left upper-lobe paramediastinal mass with extensive adenopathy (Figure 2), warranting metastatic workup.
Contrast-enhanced coronal reformation of chest demonstrates a mass in left upper lobe, accompanied by mediastinal and bilateral supraclavicular lymphadenopathy.
10.1177_2324709620918101-fig2.jpg
PMC7218319_01_10.1177_2324709620918101-fig2.jpg
fig2-2324709620918101
Computed tomography (CT) of the chest revealed small pericardial and left pleural effusions (Figure 1), and a large left upper-lobe paramediastinal mass with extensive adenopathy (Figure 2), warranting metastatic workup.
Sagittal computed tomography image through the left kidney with the circled region of interest demonstrating a density measurement of 49.78 Hounsfield units, confirming soft tissue infiltration of the perinephric space.
10.1177_2324709620918101-fig3.jpg
PMC7218319_01_10.1177_2324709620918101-fig3.jpg
fig3-2324709620918101
CT of the abdomen revealed perinephric soft tissue surrounding both kidneys (Figure 3). CT head without and with intravenous contrast revealed metastases to the right frontal cortex and right posterior cerebellum with mild mass effect of the right lateral ventricle.
Anterior and posterior whole-body bone scan images demonstrate intense uptake in distal femurs and tibias, and to a lesser extent the radius distally in both arms. The predominant sites of involvement in the bone are the diametaphyseal regions. Uptake in the mid-thoracic spine, right of midline, was due to proliferative and abundant osteophytes, and uptake in the cervical spine was degenerative in nature.
10.1177_2324709620918101-fig4.jpg
PMC7218319_01_10.1177_2324709620918101-fig4.jpg
fig4-2324709620918101
A total-body bone scan revealed abnormal uptake in the seventh vertebral body and increased uptake in both lower extremities (Figure 4).