PMC4501524_01
Chest X-ray film. A nodulare shadow was seen near the hilum of the right lung. Neoplastic changes were also noted in the right fourth rib.
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In addition, a chest X-ray film showed a nodule in the hilum of the right lung (Fig. 1), and enhanced CT demonstrated a nodule in the right lower lobe S6, with a second nodule that suggested the presence of metastasis in the right lower lobe.
Chest high-resolution CT film. A nodule with marginal irregularity, internal heterogeneity and spiculation was found in the right lung lobs S6. In addition, neoplastic lesions were detected in the second and fourth ribs, with several similar lesions in the spine.
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Furthermore, there neoplastic lesions to the second and fourth ribs were detected, and a number of similar lesions were identified in the spine (Fig. 2).
Brain MRI film. Multiple sites of cerebral infarction were identified. However, no brain metastasis was observed.
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Although there were multiple sites of cerebral infarction on brain MRI images, no neoplastic lesions suspicious of metastasis were noted (Fig. 3).