CTICasesPancreatic Adenocarcinoma Metastasis with PE
Imaging findings
CT shows unprovoked pulmonary embolism and multiple bilateral, peripheral fuzzy ground-glass/solid nodules that grew and cavitated over several months. Biopsy confirmed metastatic pancreatic adenocarcinoma.
Key takeaways
Trousseau syndrome (hypercoagulability in malignancy) can present as unprovoked PE. Metastases from pancreatic adenocarcinoma can present as fuzzy nodules with ground-glass halos, mimicking septic emboli.
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