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Tip of Port-a-Cath properly placed.
Status post-mastectomy.
Bilateral lung metastases presenting as rounded nodules and huge heterogeneous vascular masses, the latter resembling the known primary breast tumour. Pleural-based mass bordering on the left lower lobe (LLL) bulges posteriorly into the erector spinae muscles and engulfs the posterior arch of the 6th rib, which shows lytic changes, "hair on end" periosteal reaction, and pathologic fractures.
Small amount of bilateral pleural effusion.
Lytic metastasis (not shown) in the body of the left iliac bone, breaching the cortex.