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Solitary Cystic Pancreatic Metastasis

Imaging findings

CT chest shows a solitary, slowly growing cystic/cavitary lesion with a thin, slightly nodular wall, appearing 6 years after a Whipple procedure. Biopsy confirmed metastatic pancreatic adenocarcinoma.

Key takeaways

Solitary pulmonary metastases from GI/pancreatic primaries can present as thin-walled cystic/cavitary lesions, mimicking primary lung adenocarcinoma or benign cysts, requiring biopsy for confirmation.

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