Lung cancer with bone metastases

Case contributed by David Puyó


Chest pain and haemoptysis.

Patient Data

Age: 55 years
Gender: Male

Chest radiographs

Multiple intrapulmonary nodules and large retrocardiac mass in the left lung. 


CT Chest

The CT shows a solid mass of 70x70mm in the left lower lobe posteromedial segment, partially surrounds the aorta. There are also pretracheal and infracarinal lymph nodes. Areas of ground glass density, thickened interstitial fibrous elements, bulla and dense apical nodules of residual aspect. In bone reconstruction are lytic lesions in D2 and D9, 5th left rib and 6th right rib and left scapula.  The adrenal glands are enlarged.

Case Discussion

This case shows a typical left lung cancer with mediastinal lymph nodes and rib and vertebral metastases.

Although a PET-CT is recommended for completion of the imaging staging, the provisory radiological staging for this case would be T3N2M1c. 

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Case information

rID: 22283
Published: 24th Mar 2013
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

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