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Hemorrhagic pulmonary metastasis

Imaging findings

Non-contrast CT shows a large, high-attenuation right upper lobe mass with surrounding ground-glass opacity in a patient presenting with acute, massive hemoptysis, representing an actively bleeding hemorrhagic melanoma metastasis.

Key takeaways

Melanoma metastases are characteristically hypervascular and prone to spontaneous hemorrhage. They can present as dense pulmonary masses with surrounding ground-glass opacity (representing hemorrhage) and manifest clinically as severe hemoptysis.

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