PMC7556087_01
Initial chest X-ray showing multiple new pulmonary nodules.
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fig1
A chest X-ray (Figure 1), in comparison to one year prior, revealed multiple new lung nodules.
(a) Initial CT of the chest showing large intravascular mass encasing the right main pulmonary artery. (b) Repeat CT chest after 6 cycles of doxorubicin, displaying partial reduction of the primary pulmonary mass and metastatic lesions. (c) After 3 cycles of palbociclib, the patient had stable disease.
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fig2
A chest CT with contrast demonstrated mediastinal adenopathy and multiple, large, round lung nodules with sharp borders predominantly in the right lung (a 3.3 cm nodule in the medial right upper lobe and two nodules in the right lower lobe, 4.8 cm and 3 cm, respectively) with mass effect on the right pulmonary artery and encasement of the right pulmonary artery, in addition to a left lower lobe nodule (2.2 cm) (Figure 2(a)). Posttreatment CT with contrast demonstrated reduction in size of pulmonary metastases and stable-appearing nonocclusive thrombus within the right main pulmonary artery (Figure 2(b)). Repeat CT chest with contrast showed stable disease (Figure 2(c)).