PMC3804807_01
Computed tomography scan (A) upon diagnosis of pulmonary metastasis showing the right upper lobe nodule (arrow), (B) upon first relapse showing the left lower lobe nodule (arrow), (C) upon diagnosis of the last relapse showing the right upper lobe mass (arrow).
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Four years later, he was referred for multiple lung nodules (in the middle lobe, the right upper lobe, and left lower lobe) without any other visceral lesion (Figure 1A). Two months later, a CT scan showed two new nodules, one on the left upper lobe and one on the left lower lobe (Figure 1B) with a high metabolic activity on PET scan.