Unusual presentation of a less common lung primary - a pulmonary neuroendocrine tumor.

The patient has a cheek mass initially though to be an abscess - FNAC on the second visit indicated a neuroendocrine tumor.

CT identified a left upper lobe mass as well as multiple further subcutaenous masses, including in the ischioanal fossa in keeping with a lung primary with metastatic disease.

Bony metastatic lesions in the right ilum and left sacral body.