CTICasesRib Metastasis from Lung Cancer
Imaging findings
Chest radiograph and non-contrast CT in a 100-year-old patient show a right middle lobe lung mass and a separate, permeative, osteolytic destructive lesion involving a left posterior rib, associated with multiple bilateral pulmonary nodules.
Key takeaways
This case highlights the 'satisfaction of search' pitfall where a primary pulmonary nodule is identified but secondary osseous metastases are overlooked. Finding a destructive rib lesion in the context of a lung mass is diagnostic of metastatic lung cancer (Stage IV/M1b), even in the absence of histopathological confirmation.
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See all cases from July 10, 2020 →